Healthcare Provider Details

I. General information

NPI: 1689288938
Provider Name (Legal Business Name): INFUSEABLE HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2020
Last Update Date: 10/18/2023
Certification Date: 10/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8763 E BELL RD STE 102
SCOTTSDALE AZ
85260-1318
US

IV. Provider business mailing address

8763 E BELL RD STE 102
SCOTTSDALE AZ
85260-1318
US

V. Phone/Fax

Practice location:
  • Phone: 480-927-3800
  • Fax: 480-400-6121
Mailing address:
  • Phone: 480-927-3802
  • Fax: 480-400-6121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CALLIE TURK
Title or Position: OWNER
Credential:
Phone: 913-908-9169