Organization
AMERICAN HEALTHCARE DYNAMIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MILDRED A JONES (OWNER)
(812) 962-0241
Entity
Organization
Contact information
Practice address
1033 E WALNUT ST, EVANSVILLE, IN 47714-1039
(812) 962-0241
(812) 962-0505
Mailing address
1033 E WALNUT ST, EVANSVILLE, IN 47714-1039
(812) 962-0241
(812) 962-0505
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000337900
BCBS
—
Enumeration date
06/28/2005
Last updated
07/21/2022
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