1407912256 NPI number — ALL MED INC

Table of content: (NPI 1407912256)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407912256 NPI number — ALL MED INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALL MED INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ALL MED MEDICAL SUPPLY & DME
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407912256
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/14/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4232 SO 500 W
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MURRAY
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84123-1336
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-263-1400
Provider Business Mailing Address Fax Number:
801-263-9390

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4232 S 500 W
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MURRAY
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84123-1336
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-263-1400
Provider Business Practice Location Address Fax Number:
801-263-9390
Provider Enumeration Date:
12/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PENDER
Authorized Official First Name:
STEVE
Authorized Official Middle Name:
Authorized Official Title or Position:
GENERAL MANAGER
Authorized Official Telephone Number:
801-263-1400

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  8820-07 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332BX2000X , with the licence number: 5326946-1714 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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