Provider Demographics
NPI:1437393691
Name:ALL MEDICAL INC
Entity Type:Organization
Organization Name:ALL MEDICAL INC
Other - Org Name:ALL MEDICAL INC OF COLORADO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:E
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:ATP, CFO, CEAC
Authorized Official - Phone:720-374-7351
Mailing Address - Street 1:PO BOX 1296
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29202-1296
Mailing Address - Country:US
Mailing Address - Phone:803-779-2011
Mailing Address - Fax:803-779-4678
Practice Address - Street 1:12445 E 39TH AVE
Practice Address - Street 2:213
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-3462
Practice Address - Country:US
Practice Address - Phone:720-374-7351
Practice Address - Fax:303-574-3325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-30
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251J00000X
SC332B00000X332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO59024861Medicaid
CO0363780004Medicare NSC