Act Medical Supply Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

ACT MEDICAL SUPPLY INC

Practice address

3713 W Merced Cir
Riverton, UT 84065-8007

Phone

(801) 597-9796

NPI assigned

May 7, 2020

Last updated

May 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emil August Wolfgramm

Title

President

Phone

(801) 597-7876

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1093337537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 W MERCED CIR",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840658007",
            "telephone_number": "801-597-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 W MERCED CIR",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840658007",
            "telephone_number": "801-597-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACT MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "WOLFGRAMM",
        "authorized_official_first_name": "EMIL",
        "authorized_official_middle_name": "AUGUST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-597-7876"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Riverton, UT
• Providers in Riverton, UT by specialty
• Oxygen Equipment & Supplies (DME) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.