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1316983869 NPI number — DIVERSIFIED INFUSIONCARE SOLUTIONS

NPI Number: 1316983869
Health Care Provider/Practitioner: DIVERSIFIED INFUSIONCARE SOLUTIONS

Information about “1316983869” NPI (DIVERSIFIED INFUSIONCARE SOLUTIONS) exists in 1316983869 in HTML format HTML  |  1316983869 in plain Text format TXT  |  1316983869 in PDF (Portable Document Format) PDF  |  1316983869 in an XML format XML  formats.

NPI Number : 1316983869 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316983869",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DIVERSIFIED INFUSIONCARE SOLUTIONS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 2394",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STARKVILLE",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39760-2394",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "403 HOSPITAL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STARKVILLE",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39759-2164",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "662-320-9696",
    "PracticeLocationAddressFaxNumber": "662-320-9616",
    "EnumerationDate": "06/22/2006",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HAMILTON",
    "AuthorizedOfficialFirstName": "STAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RPH",
    "AuthorizedOfficialTelephoneNumber": "662-320-9696",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251F00000X",
          "TaxonomyName": "Home Infusion Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "333600000X",
          "TaxonomyName": "Pharmacy",
          "LicenseNumber": "0463302DT",
          "LicenseNumberStateCode": "MS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336H0001X",
          "TaxonomyName": "Home Infusion Therapy Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336S0011X",
          "TaxonomyName": "Specialty Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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