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Organization

AMERIMED, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACK HAWKINS (V.P. FINANCE & CFO)
(513) 576-8478
Entity
Organization

Contact information

Practice address
2464 FORTUNE DR, SUITE 165, LEXINGTON, KY 40509-4260
(859) 543-1719
(859) 543-2066
Mailing address
6281 TRI RIDGE BLVD STE 300, LOVELAND, OH 45140-8345
(513) 576-0262

Taxonomy

Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
3336H0001X
Home Infusion Therapy Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7100238360
MEDICAID - INFUSION
KY
01
7100239930
MEDICAID - DME
KY
Enumeration date
09/21/2012
Last updated
12/06/2022
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