ADVANCE MEDICAL SERVICES, INC (NPI# 1487741898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487741898 |
| Entity Type | Organization |
| Organization Name | ADVANCE MEDICAL SERVICES, INC |
| Other Organization Name | PETERSEN MEDICAL |
| Practice Address |
2019 E Riverside Dr Ste A100 St George UT 84790-8147 |
| Mailing Address |
1268 S 1380 W Orem UT 84058-4911 |
| Practice Telephone | 4356284949 |
| Practice Fax Number | 4356286041 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2019-11-25 |
| Authorized Official Name | GORDON RIDLEY (PRESIDENT CEO) |
| Authorized Official Telephone | 8013731010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
6109058-1714 | UT | Suppliers |
| Other Name | Type Code |
|---|---|
| Petersen Medical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558784827 | Advance Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 1147 W Highway 40, Suite 106, Vernal, UT 84078-2935 | 2014-01-22 |
| 1518267459 | Advance Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 1105 South Highway Building 1, Moab, UT 84532 | 2010-10-26 |
| 1134387921 | Advance Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 870 W 300 N Ste 100, Kaysville, UT 84037-4135 | 2008-05-28 |
| 1164519856 | Advance Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 1268 S 1380 W, Orem, UT 84058-4911 | 2006-10-06 |
| 1891092045 | Advance Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 1214 N Main St, Tooele, UT 84074-9540 | 2011-02-24 |
| 1851565592 | Advance Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 1108 N Mildred Rd, Cortez, CO 81321-2418 | 2008-04-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Advance Medical Services, Inc | 1108 N Mildred, Cortez, CO 81321-2418 |
| Street Address |
2019 E RIVERSIDE DR STE A100 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-8147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194978015 | Creekside Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 376 Sunland Dr, Suite 9, St George, UT 84790-5612 | 2008-10-23 |
| 1023297926 | Alpine Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 42 S River Rd, No 10, St George, UT 84790-2139 | 2007-10-26 |
| 1336144096 | Canyonlands Medical Lc | Durable Medical Equipment & Medical Supplies | 285 W Tabernacle St, Ste 101, St George, UT 84770-3385 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093337537 | Act Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 3713 W Merced Cir, Riverton, UT 84065-8007 | 2020-05-07 |
| 1821458324 | Alpine Home Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 451 S Carbon Ave, Price, UT 84501-3226 | 2016-02-26 |
| 1447644943 | Alpine Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 670 S Hwy 89, Ste A, Kanab, UT 84741-3127 | 2015-03-23 |
| 1528331048 | Tyler K Miller | Durable Medical Equipment & Medical Supplies | 242 N 300 E, Manti, UT 84642-1107 | 2012-02-14 |
| 1720372071 | Healthcare Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 765 N 1890 W, Suite 13, Provo, UT 84601-1323 | 2011-06-04 |
| 1386948776 | Total Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 1664 S Dixie Dr, Suite H-111, St. George, UT 84770-7330 | 2010-12-29 |
| 1821392226 | Total Respiratory Care Inc. | Durable Medical Equipment & Medical Supplies | 670 S Highway 89a, Suite 1, Kanab, UT 84741 | 2010-12-29 |
| 1902125784 | Axiom Limited LLC | Durable Medical Equipment & Medical Supplies | 1030 West Bellwood Ln, Murray, UT 84123 | 2010-05-19 |
| 1528381803 | Hudson Home Medical Equipment & Oxygen | Durable Medical Equipment & Medical Supplies | 8415 S 700 W, Suite 20, Sandy, UT 84070-6505 | 2010-03-01 |
| 1588993356 | Braden Partners Lp | Durable Medical Equipment & Medical Supplies | 2724 S 3600 W, Ste A, West Valley, UT 84119-6743 | 2009-12-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.