FOUNTAINS INFUSION CENTER LLC (NPI# 1467016931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467016931 |
Entity Type | Organization |
Organization Name | FOUNTAINS INFUSION CENTER LLC |
Practice Address |
159 Fountains Blvd Ste D Madison MS 39110-6344 |
Practice Telephone | 6018598200 |
Practice Fax Number | 6018598201 |
Mailing Telephone | 6018598200 |
Mailing Fax Number | 6018598201 |
Enumeration Date | 2019-04-30 |
Last Update Date | 2019-04-30 |
Authorized Official Name | GEORGE W PHILLIPS (MEMBER) |
Authorized Official Telephone | 6018598200 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
Street Address |
159 FOUNTAINS BLVD STE D |
City | MADISON |
State | MS |
Zip Code | 39110-6344 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
Find all providers in zip 39110 |
Taxonomy Code | 261QI0500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Infusion Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245722685 | Dixie Infusion Pharmacy, LLC | Clinic/Center | 1210 Briarville Rd Ste 502, Madison, TN 37115-5141 | 2018-06-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720609977 | Vitaledge Healthcare LLC | Clinic/Center | 2584 Audubon Pl, Biloxi, MS 39531-3707 | 2020-04-29 |
1548710510 | North Sunflower Medical Center | Clinic/Center | 860 N Oak Ave, Ruleville, MS 38771-3227 | 2016-10-13 |
1740646967 | Trina Health of Booneville, Inc | Clinic/Center | 202 N 1st St, Suite B, Booneville, MS 38829-2718 | 2016-01-04 |
1881087427 | Infusion Center Pharmacy | Clinic/Center | 5903 Ridgewood Rd, Suite 110, Jackson, MS 39211-3700 | 2015-03-06 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.