Provider Demographics
NPI:1326050519
Name:AMERICAN HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:AMERICAN HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GIDEON
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:OYELEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-839-1070
Mailing Address - Street 1:504 BROADWAY
Mailing Address - Street 2:SUITE #A
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-5394
Mailing Address - Country:US
Mailing Address - Phone:206-839-1070
Mailing Address - Fax:206-839-1071
Practice Address - Street 1:504 BROADWAY
Practice Address - Street 2:SUITE #A
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5394
Practice Address - Country:US
Practice Address - Phone:206-839-1070
Practice Address - Fax:206-839-1071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIS-214251E00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9054123Medicaid
WA4990800001Medicare ID - Type Unspecified