Provider Demographics
NPI:1023192531
Name:AMERICAN MEDICAL SUPPLY, INC.
Entity Type:Organization
Organization Name:AMERICAN MEDICAL SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SHELHAMMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-271-7700
Mailing Address - Street 1:7527 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-2107
Mailing Address - Country:US
Mailing Address - Phone:412-271-7700
Mailing Address - Fax:412-271-7751
Practice Address - Street 1:7527 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-2107
Practice Address - Country:US
Practice Address - Phone:412-271-7700
Practice Address - Fax:412-271-7751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA02325939332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012694300001Medicaid
PA0012694300001Medicaid