Provider Demographics
NPI:1932461316
Name:ADVANTAGE MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:ADVANTAGE MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:J
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-912-7903
Mailing Address - Street 1:7325 KANIS RD
Mailing Address - Street 2:STE D
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-2408
Mailing Address - Country:US
Mailing Address - Phone:501-912-7903
Mailing Address - Fax:
Practice Address - Street 1:7325 KANIS RD
Practice Address - Street 2:STE D
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-2408
Practice Address - Country:US
Practice Address - Phone:501-912-7903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies