MEDICARE: ARISE MEDICAL, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255364790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARISE MEDICAL, INC.

Provider Business Mailing Address
First Line	:	PO BOX 34180
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-4180
Country	:	US
Telephone Number	:	702-256-6379
Fax Number	:	702-920-8158

Provider Business Practice Location Address
First Line	:	4320 W RENO AVE STE C
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-1617
Country	:	US
Telephone Number	:	702-256-6379
Fax Number	:	702-920-8158

Authorized Official
Title or Position	:	SECRETARY
Name	:	MR. TOM WALKER
Credential	:
Telephone Number	:	702-256-6379

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	06/13/2008

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Directions to “ARISE MEDICAL, INC. ” Practice Location

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