OrganizationActive
Advanced Medical Inc
NPI 1619164308 · Customized Equipment (DME) · Cross Lanes, WV
Provider details
- NPI number
- 1619164308
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- David Roush, President(304) 776-4318
Specialties & taxonomies
Suppliers
Suppliers
- Oxygen Equipment & Supplies (DME)332BX2000X
Suppliers
Practice location
128 Goff Mountain Rd
Cross Lanes, WV 25313-1435
Phone: (304) 776-2002
Fax: (304) 776-2004
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7532
Charleston, WV 25356-0532
Registry dates
- Enumerated
- 2007-09-26
- Last updated
- 2013-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.