Healthcare Provider Details

I. General information

NPI: 1124318928
Provider Name (Legal Business Name): ABBOTT INFUSION CARE LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2011
Last Update Date: 02/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 S 2ND ST SUITE B
COSHOCTON OH
43812-1947
US

IV. Provider business mailing address

PO BOX 1076
COSHOCTON OH
43812-5076
US

V. Phone/Fax

Practice location:
  • Phone: 740-295-7010
  • Fax: 740-295-7020
Mailing address:
  • Phone: 740-295-7010
  • Fax: 740-295-7020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: CINDY BRADFORD
Title or Position: PRESIDENT
Credential: MBA
Phone: 740-295-7010