MEDICARE: ALL-MED EXPRESS, 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	259880	OTHER	VA	SOUTHERN HEALTH
2	A588286250002	OTHER	VA	CIGNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	11660	OTHER	VA	CARENET-SOUTHERN HEALTH
5	16738	OTHER	VA	VIRGINIA PREMIER

General Provider Information

NPI Number	:	1215930136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL-MED EXPRESS, INC.

Provider Business Mailing Address
First Line	:	3804 BRENNEN ROBERT PL
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-2505
Country	:	US
Telephone Number	:	804-314-9610
Fax Number	:	804-381-4247

Provider Business Practice Location Address
First Line	:	3804 BRENNEN ROBERT PL
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-2505
Country	:	US
Telephone Number	:	804-314-9610
Fax Number	:	804-381-4247

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CYNTHIA WILBORNE BRADLEY
Credential	:
Telephone Number	:	804-314-9610

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	07/10/2020

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