Provider Demographics
NPI:1467518316
Name:AMERICAN HEALTH FOUNDATION INC
Entity Type:Organization
Organization Name:AMERICAN HEALTH FOUNDATION INC
Other - Org Name:AHF SERVICE CORP
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:J
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HAEMMERLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-798-5110
Mailing Address - Street 1:4248 TULLER RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-5025
Mailing Address - Country:US
Mailing Address - Phone:614-798-5110
Mailing Address - Fax:614-798-5125
Practice Address - Street 1:4248 TULLER RD
Practice Address - Street 2:SUITE 201
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-5025
Practice Address - Country:US
Practice Address - Phone:614-798-5110
Practice Address - Fax:614-798-5125
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN HEALTH FOUNDATION INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-28
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014919050001Medicaid
OH0990478Medicaid
KY90272022Medicaid
IA0956193Medicaid
TN4582307Medicaid
OH0990478Medicaid