MEDICARE: ALL MED 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	332BX2000X	Oxygen Equipment & Supplies (DME)	5326946-1714	UT
2	332B00000X	Durable Medical Equipment & Medical Supplies	8820-07	UT

General Provider Information

NPI Number	:	1407912256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL MED INC

Provider Business Mailing Address
First Line	:	4232 SO 500 W
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84123-1336
Country	:	US
Telephone Number	:	801-263-1400
Fax Number	:	801-263-9390

Provider Business Practice Location Address
First Line	:	4232 S 500 W
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84123-1336
Country	:	US
Telephone Number	:	801-263-1400
Fax Number	:	801-263-9390

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	MR. STEVE PENDER
Credential	:
Telephone Number	:	801-263-1400

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	07/14/2008

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