Organization
ADVANCED HOME MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK FIELD (OWNER)
(270) 886-2544
Entity
Organization
Contact information
Practice address
2212 FORT CAMPBELL BLVD, HOPKINSVILLE, KY 42240-4665
(270) 886-2544
(270) 881-4799
Mailing address
2212 FORT CAMPBELL BLVD, HOPKINSVILLE, KY 42240-4665
(270) 886-2544
(270) 881-4799
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
—
000000301041
BLUE CROSS/BLUE SHIELD
KY
05
—
90006743
—
KY
Enumeration date
10/11/2006
Last updated
03/07/2021
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