Organization
AMERICAN HOMEPATIENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG MCCARTHY (COO)
(727) 530-7700
Entity
Organization
Contact information
Practice address
2723 FALLS AVE, WATERLOO, IA 50701-5723
(319) 233-3270
(319) 235-5244
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)
5043
IA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
5043
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0129114
—
WA
05
—
0254649
—
IA
05
—
0254946
—
IA
01
—
58156
BC BS PHARMACY
—
05
—
58404
—
IA
05
—
973763400
—
MN
Enumeration date
02/06/2006
Last updated
04/07/2016
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