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
10 NORTH 6TH AVE., SUITE 104, YAKIMA, WA 98902-2702
(509) 453-2989
(509) 453-3450
Mailing address
PO BOX 676486, DALLAS, TX 75267-6486
(505) 243-3993
(505) 243-3999
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1025938
UNITED HEALTHCARE
—
01
—
22155721557
PREMERA BCBS
—
01
—
621474680
BCBS OF WA
WA
01
—
627183
ANTHEM BCBS
—
05
—
9020512
—
WA
01
—
91123924
MOLINA
—
05
—
99180001
—
WA
Enumeration date
02/27/2006
Last updated
04/07/2016
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