Healthcare Provider Details

I. General information

NPI: 1962273920
Provider Name (Legal Business Name): INFUSION FOR HEALTH, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2024
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 FOXTRAIL DR UNIT 1
LOVELAND CO
80538-9082
US

IV. Provider business mailing address

PO BOX 25575
PASADENA CA
91185-5575
US

V. Phone/Fax

Practice location:
  • Phone: 888-777-1945
  • Fax: 805-413-9099
Mailing address:
  • Phone: 805-719-3700
  • Fax: 805-852-2636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: GREGORY BLANKENSHIP
Title or Position: VP, REVENUE CYCLE
Credential:
Phone: 682-227-9690