Healthcare Provider Details

I. General information

NPI: 1174616072
Provider Name (Legal Business Name): HBC INFUSION SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7277 BERNICE SUITE A
CENTERLINE MI
48015
US

IV. Provider business mailing address

4520 LINDEN CREEK SUITE D
FLINT MI
48507
US

V. Phone/Fax

Practice location:
  • Phone: 586-155-2496
  • Fax: 586-497-9364
Mailing address:
  • Phone: 810-720-3775
  • Fax: 810-720-3835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. PHILIP GERARD THOM
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 810-733-0280