Organization
AMERICAN MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER LEE WOOTEN II (PRESIDENT/CEO)
(304) 682-4989
Entity
Organization
Contact information
Practice address
127 COOK PARKWAY, OCEANA, WV 24870-1870
(304) 682-4989
(304) 682-0699
Mailing address
PO BOX 1870, OCEANA, WV 24870-1870
(304) 682-4989
(304) 682-0699
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
034719
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6201063000
—
WV
Enumeration date
09/05/2006
Last updated
04/08/2008
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