NPIMap

Organization Active NPI

Advantage Medical Supply, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Logan, UT
National Provider Identifier
1497463541
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
ADVANTAGE MEDICAL SUPPLY, INC.
Practice address
953 W 700 N Ste 103
Logan, UT 84321-7801
Phone
(435) 770-7181
NPI assigned
Nov 8, 2022
Organization subpart
Yes
Parent organization
ADVANTAGE MEDICAL SUPPLY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Shane Evan Meacham
Title
President
Phone
(435) 757-5154

Specialties & licenses 1

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

Addresses

Primary practice location

953 W 700 N Ste 103
Logan, UT 84321-7801

Mailing address

953 W 700 N Ste 112
Logan, UT 84321-7821
Phone (435) 770-7181

Other names 1

  • Advantage Home Medical, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250304000787 UT DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 0941320683 Practice locations: Logan, UT

Other NPIs with the same Medicare PAC ID 7

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

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Advantage Medical Supply, Inc953 W 700 N, Logan, UT 84321-7821(435) 774-4196 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: P… Does not accept assignmentParticipating since Jan 1, 2009

National Provider Directory

National Provider Directory
Tax ID family
Advantage Medical Supply Inc8 organizations share this tax ID, including this one
Part of
Advantage Medical Supply Inc

Other organizations with this tax ID 7

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

Locations

953 W 700 N
Ste 112
Logan, UT 84321
Phone (435) 774-4196

953 W 700 N
Ste 103
Logan, UT 84321
Phone (435) 770-7181

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1497463541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 W 700 N STE 112",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843217821",
            "telephone_number": "435-770-7181",
            "fax_number": "888-775-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 W 700 N STE 103",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843217801",
            "telephone_number": "435-770-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE MEDICAL SUPPLY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANTAGE MEDICAL SUPPLY, INC.",
        "enumeration_date": "2022-11-08",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "MEACHAM",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-757-5154"
    },
    "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"
        },
        {
            "organization_name": "Advantage Home Medical, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.