Healthcare Provider Details

I. General information

NPI: 1780072116
Provider Name (Legal Business Name): ACS MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2015
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10538 JUSTIN DR
URBANDALE IA
50322-3755
US

IV. Provider business mailing address

10538 JUSTIN DR
URBANDALE IA
50322-3755
US

V. Phone/Fax

Practice location:
  • Phone: 515-421-4933
  • Fax: 515-331-9038
Mailing address:
  • Phone: 515-421-4933
  • Fax: 515-331-9038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: GREGG JAMES COAKLEY
Title or Position: MEMBER/MANAGER
Credential:
Phone: 515-421-4933