Provider Demographics
NPI:1851372007
Name:AMOENA USA CORPORATION
Entity Type:Organization
Organization Name:AMOENA USA CORPORATION
Other - Org Name:AMOENA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MANAGER US
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-926-6362
Mailing Address - Street 1:1701 BARRETT LAKES BLVD NW
Mailing Address - Street 2:STE 410
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144
Mailing Address - Country:US
Mailing Address - Phone:800-926-6362
Mailing Address - Fax:800-229-5334
Practice Address - Street 1:1701 BARRETT LAKES BLVD NW
Practice Address - Street 2:STE 410
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144
Practice Address - Country:US
Practice Address - Phone:800-926-6362
Practice Address - Fax:800-229-5334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherIRS