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Contact Information

AT HOME MEDICAL SUPPLY, INC.
1749 FLORIDA ST
MEMPHIS, TN38109-1957
 Phone: 901-452-8770
 Fax: 901-452-9943
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for AT HOME MEDICAL SUPPLY, INC.

NPI # 1275539041
LBN Legal business name AT HOME MEDICAL SUPPLY, INC.
Authorized official MARSHA MCNAIR - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/24/2005
Last updated 11/09/2011 - About 15 years ago
Identifiers
TN License # 0000000824
AR Medicaid 152026716
MS Medicaid 00440681
TN Medicaid 003121711
TN Medicaid 00883
TN Medicaid 13201
TN Medicaid 1454371
TN Medicaid 145472
TN Other 2639857 AETNA
TN Other 3121711 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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