MEDICARE: AUGMENTATIVE EQUIPMENT SYSTEMS LTD

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447273842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUGMENTATIVE EQUIPMENT SYSTEMS LTD

Provider Business Mailing Address
First Line	:	21 FAIRVIEW HEIGHTS LOOP
Second Line	:
City	:	BURNS
State	:	OR
Zip	:	97720-2324
Country	:	US
Telephone Number	:	541-573-1855
Fax Number	:	541-573-1795

Provider Business Practice Location Address
First Line	:	21 FAIRVIEW HEIGHTS LOOP
Second Line	:
City	:	BURNS
State	:	OR
Zip	:	97720-2324
Country	:	US
Telephone Number	:	541-573-1855
Fax Number	:	541-573-1795

Authorized Official
Title or Position	:	OWNER
Name	:	DEAN B IVERSON
Credential	:
Telephone Number	:	541-573-1855

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	12/19/2007

Similar Medicare Providers

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Practice Location Address:

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1710983903 — BURNS PAIUTE TRIBE
Practice Location Address:

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1740272046 — MR. JOEL AUGUST MOORE MD
Practice Location Address:

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1497747745 — MR. LADD SHANER C.R.N.A.
Practice Location Address:

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97720

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1407830284 — MELANIE SUE ARNTZ FNP
Practice Location Address:

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Practice Fax:

1144206954 — MICHELLE DAVIES FNP
Practice Location Address:

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Directions to “AUGMENTATIVE EQUIPMENT SYSTEMS LTD ” Practice Location

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