Organization
ALLIED MEDICAL LLC
Active
Other names
Allied Medical Repair & Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL H. BEAVERS (MEMBER MANAGER)
(928) 782-1939
Entity
Organization
Contact information
Practice address
1216 S 3RD AVE, YUMA, AZ 85364-3657
(928) 782-1939
(928) 782-5285
Mailing address
1216 S 3RD AVE, YUMA, AZ 85364-3657
(928) 782-1939
(928) 782-5285
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
104542
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305559
—
AZ
01
—
AZ0278220
BLUE CROSS BLUE SHIELD
AZ
05
—
XDME01280
—
CA
Enumeration date
05/31/2005
Last updated
09/11/2025
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