Tristate Infusion Clinics, LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

TRISTATE INFUSION CLINICS, LLC

Doing business as

Vital Care Outpatient Infusion Clinic

Practice address

9140 Highway 51 N Ste C
Southaven, MS 38671-1233

Phone

(662) 260-3366

Fax

(662) 269-1568

NPI assigned

May 21, 2024

Last updated

Nov 6, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patrick Ryan McFerrin

Title

Owner

Phone

(662) 260-3366

Specialties & licenses 1

Addresses

Other names 1

• Vital Care Outpatient Infusion Clinic Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ulric Dave Duncan, M.D.

  • Specialist
  • Southaven, MS
  • NPI 1518908854
  NPD
• Tina Kay Merritt Meinholz, MD

  • Allergy Physician
  • Bentonville, AR
  • NPI 1891739660
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1003655903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 HIGHWAY 51 N STE C",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386711233",
            "telephone_number": "662-260-3366",
            "fax_number": "662-269-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 HIGHWAY 51 N STE C",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386711233",
            "telephone_number": "662-260-3366",
            "fax_number": "662-269-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE INFUSION CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "MCFERRIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-260-3366"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care Outpatient Infusion Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vital Care Outpatient Infusion Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Infusion Therapy Clinic/Center in Southaven, MS
• Providers in Southaven, MS by specialty
• Infusion Therapy Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.