1679555882 NPI number — ADVANCED MEDICAL EQUIPMENT, INC.

Table of content: (NPI 1679555882)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679555882 NPI number — ADVANCED MEDICAL EQUIPMENT, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADVANCED MEDICAL EQUIPMENT, 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:
Provider Other Organization Name Type Code:
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:
1679555882
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/23/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 781
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DESTREHAN
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70047-0781
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-463-0550
Provider Business Mailing Address Fax Number:
504-463-0096

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
33 VETERANS MEMORIAL BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KENNER
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70062-4937
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-463-0550
Provider Business Practice Location Address Fax Number:
504-463-0096
Provider Enumeration Date:
11/15/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LOVELACE
Authorized Official First Name:
CRAIG
Authorized Official Middle Name:
LYNN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
504-463-0550

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BP3500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 1676632 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".