NPIMap

Organization Active NPI

Dixie Infusion Clinic, LLC

Doing business as Vital Care Infusion Clinic - Radcliff

  • Infusion Therapy Clinic/Center
  • Radcliff, KY
National Provider Identifier
1205312352
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
DIXIE INFUSION CLINIC, LLC
Doing business as
Vital Care Infusion Clinic - Radcliff
Practice address
650 W Lincoln Trail Blvd Ste 102
Radcliff, KY 40160-2681
Phone
(270) 506-2463
NPI assigned
Jul 12, 2018
Last updated
Sep 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Navas Yoonus
Title
Owner
Phone
(615) 525-3142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X KY Primary

Addresses

Primary practice location

650 W Lincoln Trail Blvd Ste 102
Radcliff, KY 40160-2681

Mailing address

650 W Lincoln Trail Blvd Ste 102
Radcliff, KY 40160-2681
Phone (270) 506-2463

Other identifiers 1

IdentifierTypeStateIssuer
K045392OtherMEDICARE PART B

Other names 1

  • Vital Care Infusion Clinic - Radcliff Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1205312352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W LINCOLN TRAIL BLVD STE 102",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602681",
            "telephone_number": "270-506-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W LINCOLN TRAIL BLVD STE 102",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602681",
            "telephone_number": "270-506-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXIE INFUSION CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "YOONUS",
        "authorized_official_first_name": "NAVAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-525-3142"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "K045392",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care Infusion Clinic - Radcliff",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vital Care Infusion Clinic - Radcliff",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Radcliff, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.