Provider Demographics
NPI:1477039683
Name:AMERICAN HEALTH MANAGEMENT, INC.
Entity Type:Organization
Organization Name:AMERICAN HEALTH MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS ASSOCIATE
Authorized Official - Prefix:
Authorized Official - First Name:MARIBETH
Authorized Official - Middle Name:
Authorized Official - Last Name:UPCHURCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-623-4080
Mailing Address - Street 1:PO BOX 572
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40476-0572
Mailing Address - Country:US
Mailing Address - Phone:859-623-4080
Mailing Address - Fax:859-624-5771
Practice Address - Street 1:960 S 4TH ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40203-3252
Practice Address - Country:US
Practice Address - Phone:859-623-4080
Practice Address - Fax:859-624-5771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-11
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care