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	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	1633 045	WI
2	332BX2000X	Oxygen Equipment & Supplies (DME)	1633 045	WI

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

General Provider Information

NPI Number	:	1346216447
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HOMEPATIENT, INC.

Provider Business Mailing Address
First Line	:	1565 SOLUTIONS CTR
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-1005
Country	:	US
Telephone Number	:	319-234-1705
Fax Number	:	319-234-3748

Provider Business Practice Location Address
First Line	:	1011 1ST AVE
Second Line	:	SUITE B
City	:	WOODRUFF
State	:	WI
Zip	:	54568
Country	:	US
Telephone Number	:	715-356-2800
Fax Number	:	715-358-2763

Authorized Official
Title or Position	:	COO
Name	:	MR. GREG MCCARTHY
Credential	:
Telephone Number	:	727-530-7700

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	04/07/2016

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Directions to “AMERICAN HOMEPATIENT, INC. ” Practice Location

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