Active NPI
Ambulatory Infusion Care, Inc.
- Home Infusion Agency
- Mount Pleasant, MI
National Provider Identifier
1104962307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- License
- 5301005525
- Legal business name
- AMBULATORY INFUSION CARE, INC.
- Practice address
- 920 Industrial Ave
Mount Pleasant, MI 48858-4648 - Phone
- (989) 772-7770
- Fax
- (989) 772-7490
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory Lamar McCarthy, PHARMD
- Title
- Owner
- Phone
- (989) 773-4879
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | 5301005525 | MI | Primary |
Addresses
Primary practice location
920 Industrial Ave
Mount Pleasant, MI 48858-4648
Mailing address
121 E Broadway St
Suite C
Mount Pleasant, MI 48858-2360
Phone (989) 773-4879
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2640581 | Medicaid | MI | |
| OC700010 | Other | MI | BCBSM HIT |
National Provider Directory
National Provider Directory- Tax ID family
- Ambulatory Infusion Care Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Infusion Therapy Pharmacy
- Mount Pleasant, MI
- NPI 1548251739
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Mount Pleasant, MI
- NPI 1306846332
Locations
121 E Broadway St
Ste C
Mt Pleasant, MI 48858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193961600000",
"number": "1104962307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 E BROADWAY ST",
"address_2": "SUITE C",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488582360",
"telephone_number": "989-773-4879",
"fax_number": "989-773-5233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 INDUSTRIAL AVE",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488584648",
"telephone_number": "989-772-7770",
"fax_number": "989-772-7490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMBULATORY INFUSION CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2007-11-02",
"status": "A",
"authorized_official_last_name": "MCCARTHY",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "LAMAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "989-773-4879",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "MI",
"license": "5301005525",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2640581",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM HIT",
"identifier": "OC700010",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.