Provider Demographics
NPI:1972890754
Name:ALL-MED EQUIPMENT & SERVICES INC.
Entity type:Organization
Organization Name:ALL-MED EQUIPMENT & SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CRAMER
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:928-634-3627
Mailing Address - Street 1:PO BOX 339
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326-0339
Mailing Address - Country:US
Mailing Address - Phone:928-634-3627
Mailing Address - Fax:928-634-4158
Practice Address - Street 1:2548 N 4TH ST
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86004-3712
Practice Address - Country:US
Practice Address - Phone:928-526-1045
Practice Address - Fax:928-522-9285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-30
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13021659332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ746611Medicaid
AZ0189980002Medicare NSC