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General NPI Number Information
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NPI Number | 1447200159
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Entity Type | Organization
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Legal Business Name | AMBULATORY INFUSION CARE NORTH, INC
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 854 N CENTER AVE UNIT 1
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City | GAYLORD
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State | MI
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Zip | 49735-1686
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Country | US
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Telephone | 989-732-4879
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Fax | 989-731-0707
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Provider Business Mailing Address
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Address Line | 854 N CENTER AVE UNIT 1
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City | GAYLORD
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State | MI
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Zip | 49735-1686
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Country | US
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Telephone | 989-732-4879
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Fax | 989-731-0707
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. BRUCE M KUTINSKY
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Credential | NA
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Telephone | 734-546-2973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 5301005584
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 5301005584
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 5301005584
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License Number State | MI
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