Provider Demographics
NPI:1558553040
Name:ALLENMED INC.
Entity Type:Organization
Organization Name:ALLENMED INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:C PED
Authorized Official - Phone:903-680-3113
Mailing Address - Street 1:1152 US HIGHWAY 271 S
Mailing Address - Street 2:
Mailing Address - City:GILMER
Mailing Address - State:TX
Mailing Address - Zip Code:75644-7702
Mailing Address - Country:US
Mailing Address - Phone:903-680-3113
Mailing Address - Fax:903-680-5131
Practice Address - Street 1:1152 US HIGHWAY 271 S
Practice Address - Street 2:
Practice Address - City:GILMER
Practice Address - State:TX
Practice Address - Zip Code:75644-7702
Practice Address - Country:US
Practice Address - Phone:903-680-3113
Practice Address - Fax:903-680-5131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-17
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5971600001Medicare NSC