1912979287 NPI number — AMERICAN HOMEPATIENT, INC.

Table of content: (NPI 1912979287)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912979287 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:
1912979287
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 676594
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:
75267-6594
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
918-252-3591
Provider Business Mailing Address Fax Number:
918-252-3701

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9220 PALM RIVER RD
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33619-4476
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-621-1799
Provider Business Practice Location Address Fax Number:
800-313-7238
Provider Enumeration Date:
02/02/2006

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 , with the licence number:  14279 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 333600000X , with the licence number: 14279 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336C0004X , with the licence number: 14279 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336H0001X , with the licence number: 14279 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336M0002X , with the licence number: 14279 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 185480003 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 300040071M , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: OO440613 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 142473741 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200319480A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2086746 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 93000784 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7702476 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: OOO61897 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: OOOO820016 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1266582 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 443942200 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 588319 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 799800700 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 90632290 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 106461400 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 622920502 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 017286100 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com