FOUNTAINS INFUSION CENTER LLC


Address: 159 Fountains Blvd Ste D, Madison, MS 39110-6344
Phone: 6018598200

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QI0500X Clinic/Center
Specialization: Infusion Therapy
Ambulatory Health Care Facilities

Office Location

Street Address 159 FOUNTAINS BLVD STE D
City MADISON
State MS
Zip Code 39110-6344

Providers in the same zip code

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 Information

Taxonomy Code 261QI0500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Infusion Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245722685 Dixie Infusion Pharmacy, LLC Clinic/Center 1210 Briarville Rd Ste 502, Madison, TN 37115-5141 2018-06-01

Providers in the same taxonomy and state

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

Competitor

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City MADISON
Zip Code 39110

Improve Information

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Dataset Information

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.

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