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
214 MORAN AVE, MULLENS, WV 25882-0214
(304) 294-4989
(304) 294-0699
Mailing address
127 COOK PARKWAY, PO BOX 1870, OCEANA, WV 24870-1870
(304) 682-4989
(304) 682-4989
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
2003-2597
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810010265
—
WV
Enumeration date
08/08/2007
Last updated
07/15/2008
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