Provider Demographics
NPI:1689615080
Name:AMERICAN HOME MEDICAL INC
Entity Type:Organization
Organization Name:AMERICAN HOME MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:BOWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-333-0201
Mailing Address - Street 1:8803 WALKER MILL RD
Mailing Address - Street 2:12
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-4922
Mailing Address - Country:US
Mailing Address - Phone:301-333-0201
Mailing Address - Fax:301-333-0202
Practice Address - Street 1:8803 WALKER MILL RD
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-4922
Practice Address - Country:US
Practice Address - Phone:301-333-0201
Practice Address - Fax:301-333-0202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2010-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR954332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0248235-00Medicaid
MD233108000MMAMedicaid
DC0248235-00Medicaid