Provider Demographics
NPI:1013378405
Name:APM MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:APM MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DENTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-259-0374
Mailing Address - Street 1:5025 S EASTERN AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-2318
Mailing Address - Country:US
Mailing Address - Phone:702-259-0374
Mailing Address - Fax:702-259-4729
Practice Address - Street 1:5025 S EASTERN AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-2318
Practice Address - Country:US
Practice Address - Phone:702-259-0374
Practice Address - Fax:702-259-4729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-11
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1053316810Medicaid
NV1053316810Medicaid
0675940001Medicare NSC