Mit Ambulatory Care Center

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

MIT AMBULATORY CARE CENTER

Practice address

149 Riverwalk Blvd
Suite 6
Ridgeland, SC 29936-8190

Phone

(912) 691-0333

Fax

(912) 691-1030

NPI assigned

Mar 9, 2010

Organization subpart

No

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

Authorized official

Name

Mr. William C. Parker

Title

Ceo

Phone

(912) 925-1905

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1043533896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13663",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314160663",
            "telephone_number": "912-691-0333",
            "fax_number": "912-691-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 RIVERWALK BLVD",
            "address_2": "SUITE 6",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368190",
            "telephone_number": "912-691-0333",
            "fax_number": "912-691-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIT AMBULATORY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-925-1905",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Lentz Michael
• Marianella Mijares, CSFA
• Amanda Mikulas-White, MS, LPC-A
• Miles Family Chiropractic
• Jake Minasi
• Christy P Mixson, LPC-A
• Savannah Momany, RBT
• Jennifer Loadholt Moore, LMSW
• Marcella Morales
• Amy Grace Murphy, MA., LPCA

• Infusion Therapy Clinic/Center in Ridgeland, SC
• Providers in Ridgeland, SC by specialty
• Infusion Therapy Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.