Organization
ADVANCED MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID L ROUSH (PRESIDENT)
(304) 776-4318
Entity
Organization
Contact information
Practice address
128 GOFF MOUNTAIN RD, CROSS LANES, WV 25313-1435
(304) 776-2002
(304) 776-2004
Mailing address
PO BOX 7532, CHARLESTON, WV 25356-0532
(304) 776-2002
(304) 776-2004
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9226145
AETNA
WV
Enumeration date
09/26/2007
Last updated
04/23/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us