MEDICARE: AMERICAN HOMEPATIENT, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336H0001X	Home Infusion Therapy Pharmacy
2	333600000X	Pharmacy	17522	AR
3	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	17522	AR
4	332BX2000X	Oxygen Equipment & Supplies (DME)	17522	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871594416
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HOMEPATIENT, INC.

Provider Business Mailing Address
First Line	:	PO BOX 676499
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75267-6499
Country	:	US
Telephone Number	:	501-537-2323
Fax Number	:	501-671-6801

Provider Business Practice Location Address
First Line	:	12120 COLONEL GLENN RD
Second Line	:	STE. 4000
City	:	LITTLE ROCK
State	:	AR
Zip	:	72210-2836
Country	:	US
Telephone Number	:	501-907-1001
Fax Number	:	501-907-1003

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	MR. FRANK POWERS
Credential	:
Telephone Number	:	615-221-8149

Provider Enumeration Date	:	08/04/2005
Last Update Date	:	05/09/2008

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Directions to “AMERICAN HOMEPATIENT, INC. ” Practice Location

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