Provider Demographics
NPI:1467697268
Name:NORTH AMERICAN HOME CENTERS
Entity Type:Organization
Organization Name:NORTH AMERICAN HOME CENTERS
Other - Org Name:RANDY'S CARPETS AND INTERIORS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SALES MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:MACRANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-354-4344
Mailing Address - Street 1:401 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-2611
Mailing Address - Country:US
Mailing Address - Phone:319-354-4344
Mailing Address - Fax:
Practice Address - Street 1:401 2ND ST
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-2611
Practice Address - Country:US
Practice Address - Phone:319-354-4344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies