Provider Demographics
NPI:1699879809
Name:ALL MED LLC
Entity type:Organization
Organization Name:ALL MED LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:SABER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-721-0775
Mailing Address - Street 1:149 JERRY WEST HWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:LOGAN
Mailing Address - State:WV
Mailing Address - Zip Code:25601-3955
Mailing Address - Country:US
Mailing Address - Phone:304-752-2800
Mailing Address - Fax:304-752-2111
Practice Address - Street 1:149 JERRY WEST HWY
Practice Address - Street 2:SUITE B
Practice Address - City:LOGAN
Practice Address - State:WV
Practice Address - Zip Code:25601-3955
Practice Address - Country:US
Practice Address - Phone:304-752-2800
Practice Address - Fax:304-752-2111
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SABER MEDICAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-08
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2231463Medicaid
WV3810006761Medicaid
KY90008459Medicaid
1160610005Medicare NSC