Provider Demographics
NPI:1083725691
Name:SCOTT DELHOM
Entity Type:Organization
Organization Name:SCOTT DELHOM
Other - Org Name:AMERIMED HOME MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:DELHOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-755-0888
Mailing Address - Street 1:11552 CEDAR PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-4252
Mailing Address - Country:US
Mailing Address - Phone:225-755-0888
Mailing Address - Fax:225-755-0022
Practice Address - Street 1:11552 CEDAR PARK AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-4252
Practice Address - Country:US
Practice Address - Phone:225-755-0888
Practice Address - Fax:225-755-0022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA17-0010476332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4243510001Medicare ID - Type UnspecifiedDURABLE MEDICAL EQUIPMENT