Axiva Infusion Centers - WV LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

AXIVA INFUSION CENTERS - WV LLC

Practice address

93 Crimson Cir
Martinsburg, WV 25403-6397

Phone

(304) 885-1500

Fax

(304) 885-1501

NPI assigned

Oct 16, 2019

Organization subpart

No

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

Authorized official

Name

Jenny Hustek

Title

VP of Revenue Cycle

Phone

(610) 609-7399

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1255973707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W TOWNSHIP LINE RD STE 300",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834929",
            "telephone_number": "610-601-0760",
            "fax_number": "610-756-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 CRIMSON CIR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254036397",
            "telephone_number": "304-885-1500",
            "fax_number": "304-885-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIVA INFUSION CENTERS - WV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "HUSTEK",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE",
        "authorized_official_telephone_number": "610-609-7399"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Infusion Therapy Clinic/Center in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Infusion Therapy Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.