Provider Demographics
NPI:1285807156
Name:ACP MEDICAL SUPPLY CORPORATION
Entity type:Organization
Organization Name:ACP MEDICAL SUPPLY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF BIOMEDICAL SERVICES AND QA
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:D
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-350-1100
Mailing Address - Street 1:4850 JOULE ST
Mailing Address - Street 2:BLDG. A-1
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-4126
Mailing Address - Country:US
Mailing Address - Phone:800-350-1100
Mailing Address - Fax:800-350-1102
Practice Address - Street 1:4850 JOULE ST
Practice Address - Street 2:BLDG. A-1
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-4126
Practice Address - Country:US
Practice Address - Phone:800-350-1100
Practice Address - Fax:800-350-1102
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCELERATED CARE PLUS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies