Provider Demographics
NPI:1437586237
Name:01 A LL-STATES MEDICAL SUPPLY, INC.
Entity Type:Organization
Organization Name:01 A LL-STATES MEDICAL SUPPLY, INC.
Other - Org Name:ALL-STATES MEDICAL SUPPLY, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SUESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-651-8055
Mailing Address - Street 1:221 OLD HENDERSONVILLE RD
Mailing Address - Street 2:STE A
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-9679
Mailing Address - Country:US
Mailing Address - Phone:828-651-8055
Mailing Address - Fax:
Practice Address - Street 1:2700 S ROAN ST
Practice Address - Street 2:STE 101
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-7556
Practice Address - Country:US
Practice Address - Phone:828-651-8055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-11
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies