Healthcare Provider Details

I. General information

NPI: 1710118203
Provider Name (Legal Business Name): ALL MED, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2009
Last Update Date: 11/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2324 MURPHYS RUN RD
BRIDGEPORT WV
26330-7046
US

IV. Provider business mailing address

PO BOX 478
DUNBAR WV
25064-0478
US

V. Phone/Fax

Practice location:
  • Phone: 304-848-0505
  • Fax: 304-848-0881
Mailing address:
  • Phone: 304-721-0775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MARK SABER
Title or Position: MEMBER
Credential:
Phone: 304-755-9403