Organization
AMERICAN HOMEPATIENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG MCCARTHY (SR. VICE PRESIDENT)
(727) 530-7700
Entity
Organization
Contact information
Practice address
1200 SE 14TH ST, SUITE 8, BENTONVILLE, AR 72712-7996
(479) 273-1803
(479) 273-1805
Mailing address
PO BOX 970592, DALLAS, TX 75397-0592
(501) 537-2323
(501) 671-6801
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
G00182
AR
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
WD03102
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138770716
—
AR
05
—
138773737
—
AR
Enumeration date
08/02/2005
Last updated
04/12/2016
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