Provider Demographics
NPI:1528281128
Name:AMERICAN HOMEPATIENT, INC.
Entity type:Organization
Organization Name:AMERICAN HOMEPATIENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. VICE PRESIDENT, ASSIST. SEC.
Authorized Official - Prefix:MISS
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:GOUY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-221-8191
Mailing Address - Street 1:PO BOX 532631
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30353-2631
Mailing Address - Country:US
Mailing Address - Phone:229-257-0075
Mailing Address - Fax:229-257-0726
Practice Address - Street 1:1221 PLAZA AVE
Practice Address - Street 2:SUITE B
Practice Address - City:EASTMAN
Practice Address - State:GA
Practice Address - Zip Code:31023-9007
Practice Address - Country:US
Practice Address - Phone:478-374-6664
Practice Address - Fax:478-374-6668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier