Provider Demographics
NPI:1033311667
Name:ALL AMERICAN MEDICAL SUPPLY
Entity Type:Organization
Organization Name:ALL AMERICAN MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FIRAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-230-0004
Mailing Address - Street 1:1413 W CUMBERLAND ST
Mailing Address - Street 2:
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28334-4503
Mailing Address - Country:US
Mailing Address - Phone:910-230-0004
Mailing Address - Fax:910-230-0008
Practice Address - Street 1:1413 W CUMBERLAND ST
Practice Address - Street 2:
Practice Address - City:DUNN
Practice Address - State:NC
Practice Address - Zip Code:28334-4503
Practice Address - Country:US
Practice Address - Phone:910-230-0004
Practice Address - Fax:910-230-0008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC01303332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC01303OtherPERMIT
NC5985460001Medicare NSC