Organization Active NPI

Action Medical Mobility Inc.

  • Durable Medical Equipment & Medical Supplies
  • Salt Lake City, UT
National Provider Identifier
1053574095
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ACTION MEDICAL MOBILITY INC.
Practice address
4035 S 300 W
Salt Lake City, UT 84107-1400
Phone
(801) 263-3180
Fax
(801) 263-3720
NPI assigned
Jul 9, 2008
Last updated
Jul 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mike S. McDonough
Title
Ceo/Owner
Phone
(801) 263-3180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

4035 S 300 W
Salt Lake City, UT 84107-1400

Mailing address

4035 S 300 W
Salt Lake City, UT 84107-1400
Phone (801) 263-3180

National Provider Directory

National Provider Directory

Locations

4035 S 300 W
Salt Lake City, UT 84107
Phone (801) 263-3180

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1053574095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 S 300 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841071400",
            "telephone_number": "801-263-3180",
            "fax_number": "801-263-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 S 300 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841071400",
            "telephone_number": "801-263-3180",
            "fax_number": "801-263-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION MEDICAL MOBILITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "801-263-3180"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.