Provider Demographics
NPI:1407912256
Name:ALL MED INC
Entity Type:Organization
Organization Name:ALL MED INC
Other - Org Name:ALL MED MEDICAL SUPPLY & DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:PENDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-263-1400
Mailing Address - Street 1:4232 SO 500 W
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84123-1336
Mailing Address - Country:US
Mailing Address - Phone:801-263-1400
Mailing Address - Fax:801-263-9390
Practice Address - Street 1:4232 S 500 W
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84123-1336
Practice Address - Country:US
Practice Address - Phone:801-263-1400
Practice Address - Fax:801-263-9390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8820-07332B00000X
UT5326946-1714332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT=========009Medicaid
UT0957750001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
UT=========009Medicaid