Healthcare Provider Details

I. General information

NPI: 1508850926
Provider Name (Legal Business Name): AMERIMED, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 12/06/2022
Certification Date: 12/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9961 CINCINNATI DAYTON RD
WEST CHESTER OH
45069-3823
US

IV. Provider business mailing address

6281 TRI RIDGE BLVD STE 300
LOVELAND OH
45140-8345
US

V. Phone/Fax

Practice location:
  • Phone: 513-942-3670
  • Fax: 513-942-2846
Mailing address:
  • Phone: 513-576-0262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JACK HAWKINS
Title or Position: VP, FINANCE/CFO
Credential:
Phone: 513-576-8478