Provider Demographics
NPI:1851454219
Name:AMERIAN HEALTHCARE
Entity Type:Organization
Organization Name:AMERIAN HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:CRYSTAL
Authorized Official - Last Name:REEVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-736-2421
Mailing Address - Street 1:275 E MILL ST STE F
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-1540
Mailing Address - Country:US
Mailing Address - Phone:800-736-2421
Mailing Address - Fax:
Practice Address - Street 1:275 E MILL ST STE F
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-1540
Practice Address - Country:US
Practice Address - Phone:800-736-2421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100104332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME0074GMedicaid
CA0421980001Medicare NSC
CAMB571BMedicare ID - Type Unspecified
CAD08600723Medicare ID - Type UnspecifiedMEDICARE ID