NPIMap

Advantage Medical Supply, Inc.

Organization Active NPI Oxygen Equipment & Supplies (DME) · St George, UT

NPI 1003534256 · NPPES record last updated Aug 15, 2022

Key facts

NPI
1003534256
Entity type
Organization (NPI type 2)
Primary specialty
Oxygen Equipment & Supplies (DME) 332BX2000X
Legal business name
ADVANTAGE MEDICAL SUPPLY, INC.
Practice address
640 E 700 S Ste 102
St George, UT 84770-5731
Phone
(435) 619-8003
Fax
(435) 644-8604
NPI assigned
Aug 15, 2022
Organization subpart
Yes
Parent organization (as reported)
ADVANTAGE MEDICAL SUPPLY, INC.

Authorized official

Name
Kory S Young
Title
VP
Phone
(801) 807-9395

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 7

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Advantage Medical Supply, Inc
640 E 700 S, St George, UT 84770-5731 · (438) 619-8003		 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Support Surfaces: Pressure Reducing Beds/Ma… Does not accept assignment
Participating since Jan 1, 2009

Medicare participation

Medicare fee-for-service enrollment
Enrolled in UT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240507004005 UT DME Supplier - Medical Supply Company With Respiratory Therapist
DME Supplier - Oxygen & Equipment		 0941320683 Practice locations: St George, UT

National Provider Directory

Tax ID family
Advantage Medical Supply Inc (8 organizations share this tax ID)
Part of
Advantage Medical Supply Inc

Locations

640 E 700 S
Ste 102
St George, UT 84770
Phone (435) 674-5488

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Yes

Addresses

Primary practice location

640 E 700 S Ste 102
St George, UT 84770-5731

Mailing address

670 S Highway 89a
Kanab, UT 84741-3680
Phone (801) 807-9395

Other names

  • Advantage Home Medical, Inc. Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 15, 2022.

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1003534256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 S HIGHWAY 89A",
            "city": "KANAB",
            "state": "UT",
            "postal_code": "847413680",
            "telephone_number": "801-807-9395",
            "fax_number": "435-644-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E 700 S STE 102",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705731",
            "telephone_number": "435-619-8003",
            "fax_number": "435-644-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE MEDICAL SUPPLY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANTAGE MEDICAL SUPPLY, INC.",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "KORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "801-807-9395"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Home Medical, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St George, UT

All providers in St George, UT · Oxygen Equipment & Supplies (DME) in Utah

Sources for this page

Verify at the official NPI Registry.