NPIMap

Organization Active NPI

Ahc Medical Supply, LLC

Doing business as AHC Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Grangeville, ID
National Provider Identifier
1790924702
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AHC MEDICAL SUPPLY, LLC
Doing business as
AHC Medical Supply
Practice address
410 E North 2ND St
Grangeville, ID 83530-2258
Phone
(208) 983-1131
Fax
(208) 983-9140
NPI assigned
Feb 13, 2009
Last updated
Feb 13, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANCED HEALTH CARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
Mark Emmett
Title
Executive Assistant
Phone
(253) 670-5700

Specialties & licenses 1

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

Addresses

Primary practice location

410 E North 2ND St
Grangeville, ID 83530-2258

Mailing address

5323 Murray Blvd
Murray, UT 84123-6973
Phone (801) 713-3200

Other names 1

  • AHC Medical Supply Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ahc Medical Supply8 organizations share this tax ID, including this one
Part of
Advanced Health Care Corporation

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1790924702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 MURRAY BLVD",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841236973",
            "telephone_number": "801-713-3200",
            "fax_number": "801-713-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E NORTH 2ND ST",
            "city": "GRANGEVILLE",
            "state": "ID",
            "postal_code": "835302258",
            "telephone_number": "208-983-1131",
            "fax_number": "208-983-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHC MEDICAL SUPPLY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED HEALTH CARE CORPORATION",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "EMMETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "253-670-5700"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHC Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grangeville, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.