Provider Demographics
NPI:1215185772
Name:ALL MED, LLC
Entity Type:Organization
Organization Name:ALL MED, LLC
Other - Org Name:SABER MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:SABER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-755-9403
Mailing Address - Street 1:PO BOX 478
Mailing Address - Street 2:
Mailing Address - City:DUNBAR
Mailing Address - State:WV
Mailing Address - Zip Code:25064-0478
Mailing Address - Country:US
Mailing Address - Phone:304-721-0775
Mailing Address - Fax:304-255-0881
Practice Address - Street 1:1107 JOHNSTOWN RD
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-4941
Practice Address - Country:US
Practice Address - Phone:304-256-0775
Practice Address - Fax:304-721-0881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-08
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810013525Medicaid
WV3810013525Medicaid