1St America Infusion Services Llc
LBN: 1St America Infusion Services Llc
1St America Infusion Services Llc is an health care organization with primary practice located at 212 Northside Dr , Valdosta GA 31602-1858. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty.
1St America Infusion Services Llc can be contacted via phone (229) 242-3060, or through Hall, Juderal via phone (800) 482-8466.
Contact Information
Primary practice address
212 Northside Dr
Valdosta GA 31602-1858
Phone: (229) 242-3060
Fax: (229) 242-9914
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1093444911 |
|---|---|
| LBN Legal business name | 1St America Infusion Services Llc |
| DBA Doing business as | |
| Authorized official | Hall, Juderal |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 7th, 2022 |
| Last updated | Jun 7th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093444911 | NPPES |
| Georgia | MEDICAID | 323764040A | |
| Georgia | Other | 2019860 |
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