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
819 E ROOSEVELT AVE, GRANTS, NM 87020-2115
(505) 287-7244
(505) 287-7010
Mailing address
PO BOX 676458, DALLAS, TX 75267-6458
(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
—
040045499
DEPT OF LABOR
—
01
—
1025906
UNITED HEALTHCARE
—
01
—
52907
NORTHWOOD NPN
—
01
—
NM00T15X
BCBS OF NM
NM
05
—
R4079
—
NM
Enumeration date
03/14/2006
Last updated
04/07/2016
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