Advantage Medical Equipment and Supplies Inc
Organization Active NPI Nursing Facility Supplies (DME) · Fayette, MO
NPI 1508990466 · NPPES record last updated Mar 19, 2012
Key facts
- NPI
- 1508990466
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility Supplies (DME) 332BN1400X
- License
- 17322073 (MO)
- Legal business name
- ADVANTAGE MEDICAL EQUIPMENT AND SUPPLIES INC
- Practice address
- 209 N Church St
Fayette, MO 65248-1403 - Phone
- (660) 248-1445
- Fax
- (660) 248-1043
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Kara McMillan
- Title
- Co-Owner
- Phone
- (660) 248-1445
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Advantage Medical Equipment and Supplies Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility Supplies (DME) | 332BN1400X | 17322073 | MO | Yes |
Addresses
Primary practice location
209 N Church St
Fayette, MO 65248-1403
Mailing address
209 N Church St
Fayette, MO 65248-1403
Phone (660) 248-1445
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 855021804 | Medicaid | MO |
Other providers in Fayette, MO
- Advantage Medical Equipment and Supplies Inc
- Felicia Ekwutosi Anunoby
- Lisa G Asbury
- Aspire Senior Living Fayette, LLC
- Tiffany Lynn Ballough
All providers in Fayette, MO · Nursing Facility Supplies (DME) in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.