Organization · NPI-2

1st America Infusion Services LLC

Clinic/Center, Infusion Therapy · Winston Salem, NC

NPI number1326700311
StatusActive
Last updated in NPPESNov 2, 2021

Details

NPI
1326700311
Entity type
Organization (NPI-2)
Legal business name
1st America Infusion Services LLC
Organization subpart
No
Enumeration date
Oct 7, 2021
Certification date
Nov 2, 2021
Last updated
Nov 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QI0500X Clinic/Center, Infusion Therapy––Yes

Other names

  • Advanced Infusioncare (Doing Business As)

Practice location

1022 W 1st St Ste 107
Winston Salem, NC 27101-3642

Phone 601-988-1700

Mailing address

623 Highland Colony Pkwy Ste 100
Ridgeland, MS 39157-6077

Authorized official

Simon Castellanos
Ceo
6019881700

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