Provider Demographics
NPI:1245593862
Name:AMERICAN MEDICAL CO-OP, LLC
Entity Type:Organization
Organization Name:AMERICAN MEDICAL CO-OP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:B
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-224-3066
Mailing Address - Street 1:330 MALLORY STATION RD
Mailing Address - Street 2:# C-7
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2859
Mailing Address - Country:US
Mailing Address - Phone:615-224-3066
Mailing Address - Fax:615-224-3067
Practice Address - Street 1:330 MALLORY STATION RD
Practice Address - Street 2:# C-7
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2859
Practice Address - Country:US
Practice Address - Phone:615-224-3066
Practice Address - Fax:615-224-3067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-19
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies