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NPI Code Detail

MEDICARE: I.V. SPECIALISTS, INC.

MEDICARE: I.V. SPECIALISTS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336H0001XHome Infusion Therapy Pharmacy50005431SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073650768
Entity Type Code : Organization
Provider Name (Legal Business Name) : I.V. SPECIALISTS, INC.
Provider Business Mailing Address
First Line : 15529 COLLEGE BLVD
Second Line :
City : LENEXA
State : KS
Zip : 66219-1351
Country : US
Telephone Number : 877-342-9352
Fax Number : 877-542-9352
Provider Business Practice Location Address
First Line : 25B MARSHELLEN DR
Second Line :
City : BEAUFORT
State : SC
Zip : 29902-6900
Country : US
Telephone Number : 843-524-3777
Fax Number : 843-524-3776
Authorized Official
Title or Position : CORPORATE COUNSEL
Name : ROXANNE SMITH
Credential : J.D.
Telephone Number : 913-747-3720
Provider Enumeration Date : 01/31/2007
Last Update Date : 02/02/2015

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