Provider Demographics
NPI:1609812411
Name:PREHAB INC.
Entity type:Organization
Organization Name:PREHAB INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:STINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-270-1630
Mailing Address - Street 1:POST OFFICE BOX 240698
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36124-0698
Mailing Address - Country:US
Mailing Address - Phone:334-270-1630
Mailing Address - Fax:877-877-8383
Practice Address - Street 1:8355 CROSSLAND LOOP
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-8483
Practice Address - Country:US
Practice Address - Phone:334-270-1630
Practice Address - Fax:877-877-8383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL502332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051008224OtherBLUE CROSS PROVIDER #
ALIN009927585Medicaid
ALIN009927585Medicaid
AL1268340001Medicare ID - Type UnspecifiedPROVIDER NUMBER