MEDICARE: ADVANCED MEDICAL SOLUTIONS, 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	57189140	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245281807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED MEDICAL SOLUTIONS, INC.

Provider Business Mailing Address
First Line	:	527 WINDSOR PARK DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45459-4112
Country	:	US
Telephone Number	:	937-291-0069
Fax Number	:	866-511-7241

Provider Business Practice Location Address
First Line	:	527 WINDSOR PARK DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45459-4112
Country	:	US
Telephone Number	:	937-291-0069
Fax Number	:	866-511-7241

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. KELLY LYNN ABRAHAM
Credential	:
Telephone Number	:	800-554-0057

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	02/09/2011

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