MEDICARE: AMLINC, LLC

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	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)

General Provider Information

NPI Number	:	1881260032
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMLINC, LLC

Provider Business Mailing Address
First Line	:	PO BOX 672
Second Line	:
City	:	CARLTON
State	:	OR
Zip	:	97111-0672
Country	:	US
Telephone Number	:	503-550-2235
Fax Number	:

Provider Business Practice Location Address
First Line	:	2212 BROADWATER AVE
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-4779
Country	:	US
Telephone Number	:	503-550-2235
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	TERENCE S MCLAUGHLIN
Credential	:
Telephone Number	:	503-550-2235

Provider Enumeration Date	:	05/28/2021
Last Update Date	:	05/28/2021

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Directions to “AMLINC, LLC ” Practice Location

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