Organization
AMERICAN HOMEPATIENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT BENSON (SR. VICE PRESIDENT)
(615) 221-8581
Entity
Organization
Contact information
Practice address
320 S 10TH ST, PARAGOULD, AR 72450-4117
(870) 239-2101
(870) 239-2102
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)
57122
AR
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
57122
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121046716
—
AR
05
—
6261404
—
MO
Enumeration date
09/22/2005
Last updated
03/14/2014
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