Provider Demographics
NPI:1457454415
Name:AMERICAN HOME MEDICAL SERVICES
Entity Type:Organization
Organization Name:AMERICAN HOME MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-772-6970
Mailing Address - Street 1:PO BOX 8160
Mailing Address - Street 2:6931 WOODWAY DR
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76714
Mailing Address - Country:US
Mailing Address - Phone:254-772-6970
Mailing Address - Fax:254-772-5652
Practice Address - Street 1:755 S BECKHAM AVE
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701
Practice Address - Country:US
Practice Address - Phone:903-593-4067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
05612120002Medicare ID - Type Unspecified