Organization Name: | ADVANCED MEDICAL SUPPLY, LLC |
NPI Number: | 1225033129 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUGLAS R VOLINSKI (CFO/VP) |
Mailing Address: | 1503 N Hwy 81 Ste A Duncan |
State: | OK US |
Postal Code: | 735331450 |
Phone Number: | 5802524700 |
Fax Number: | 5802524205 |
NPI Enumeration Date: | 06/16/2005 |
NPI Last Update Date: | 02/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |