Provider Demographics
NPI:1396155776
Name:AMERICAN MEDICAL COLLECTIONS LLC
Entity type:Organization
Organization Name:AMERICAN MEDICAL COLLECTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-852-4021
Mailing Address - Street 1:1710 WILLOW CREEK CIR # 1
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-9192
Mailing Address - Country:US
Mailing Address - Phone:541-852-4021
Mailing Address - Fax:541-636-0416
Practice Address - Street 1:1710 WILLOW CREEK CIR # 1
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-9192
Practice Address - Country:US
Practice Address - Phone:541-852-4021
Practice Address - Fax:541-636-0416
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN MEDICAL COLLECTIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-05-06
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies