Healthcare Provider Details

I. General information

NPI: 1669444659
Provider Name (Legal Business Name): AMERICAN HOMEPATIENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 05/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10540 HICKMAN RD SUITE D
DES MOINES IA
50325-3711
US

IV. Provider business mailing address

1565 SOLUTIONS CTR
CHICAGO IL
60677-1005
US

V. Phone/Fax

Practice location:
  • Phone: 515-252-6268
  • Fax: 515-252-7168
Mailing address:
  • Phone: 319-234-1705
  • Fax: 319-234-3748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number1107517
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number1107517
License Number StateIA

VIII. Authorized Official

Name: MR. FRANK POWERS
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 615-221-8191