Organization
AMERICAN HOMEPATIENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK D. POWERS (CHIEF OPERATING OFFICER)
(615) 221-8149
Entity
Organization
Contact information
Practice address
842 W 76TH ST, SUITE 1, DAVENPORT, IA 52806-1366
(563) 388-8270
(563) 388-0231
Mailing address
1565 SOLUTIONS CTR, CHICAGO, IL 60677-1005
(319) 234-1705
(319) 234-3748
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
5671
IA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
5671
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0254946
—
IA
05
—
0256297
—
IA
01
—
58156
BCBS PHARMACY
—
01
—
58410
BCBS OF IA
IA
Enumeration date
02/01/2006
Last updated
07/31/2008
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