Healthcare Provider Details

I. General information

NPI: 1629066246
Provider Name (Legal Business Name): ALL-MED, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 RIVER ROAD
EUGENE OR
97402-3255
US

IV. Provider business mailing address

925 RIVER ROAD
EUGENE OR
97402-3255
US

V. Phone/Fax

Practice location:
  • Phone: 541-485-3411
  • Fax: 541-485-4076
Mailing address:
  • Phone: 541-485-3411
  • Fax: 541-485-4076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier114061
Identifier TypeMEDICAID
Identifier StateOR
Identifier Issuer

VIII. Authorized Official

Name: MR. WILLIAM S. DICKINSON
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 541-485-3411