Provider Demographics
NPI:1518178177
Name:AMERICAN HEALTHCARE SUPPLIES, LLC.
Entity Type:Organization
Organization Name:AMERICAN HEALTHCARE SUPPLIES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-322-0013
Mailing Address - Street 1:1807 W NORTH ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45504-2922
Mailing Address - Country:US
Mailing Address - Phone:937-322-0013
Mailing Address - Fax:937-324-7991
Practice Address - Street 1:1807 W NORTH ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45504-2922
Practice Address - Country:US
Practice Address - Phone:937-322-0013
Practice Address - Fax:937-324-7991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH5927110001Medicare NSC