Healthcare Provider Details

I. General information

NPI: 1871257311
Provider Name (Legal Business Name): AMERICAN HEALTH MANAGEMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2021
Last Update Date: 10/29/2021
Certification Date: 10/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 PARKVIEW DR
GLASGOW KY
42141-5005
US

IV. Provider business mailing address

PO BOX 572
RICHMOND KY
40476-0572
US

V. Phone/Fax

Practice location:
  • Phone: 859-623-4080
  • Fax:
Mailing address:
  • Phone: 859-623-4080
  • Fax: 859-624-5771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIBETH UPCHURCH
Title or Position: OPERATIONS ASSOCIATE
Credential:
Phone: 859-623-4080