1447226543 NPI number — AMERICAN HOMEPATIENT, INC.

Table of content: (NPI 1447226543)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447226543 NPI number — AMERICAN HOMEPATIENT, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN HOMEPATIENT, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447226543
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/07/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 676486
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75267-6486
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
505-243-3993
Provider Business Mailing Address Fax Number:
505-243-3999

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10 NORTH 6TH AVE.
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
YAKIMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98902-2702
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-453-2989
Provider Business Practice Location Address Fax Number:
509-453-3450
Provider Enumeration Date:
02/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MCCARTHY
Authorized Official First Name:
GREG
Authorized Official Middle Name:
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
727-530-7700

Provider Taxonomy Codes

  • Taxonomy code: 332BP3500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1025938 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 627183 . This is a "ANTHEM BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 22155721557 . This is a "PREMERA BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9020512 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 91123924 . This is a "MOLINA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 621474680 . This is a "BCBS OF WA" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 99180001 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




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