Organization Active NPI

Tristate Infusion, LLC

Doing business as Vital Care Infusion Services

  • Durable Medical Equipment & Medical Supplies
  • Bentonville, AR
National Provider Identifier
1306680061
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TRISTATE INFUSION, LLC
Doing business as
Vital Care Infusion Services
Practice address
1211 SE 28TH St Ste 10
Bentonville, AR 72712-3970
Phone
(479) 250-9555
Fax
(866) 220-3710
NPI assigned
Jun 19, 2024
Last updated
Jun 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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
(803) 599-7386

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X

Addresses

Primary practice location

1211 SE 28TH St Ste 10
Bentonville, AR 72712-3970

Mailing address

1211 SE 28TH St Ste 10
Bentonville, AR 72712-3970
Phone (479) 250-9555

Other names 1

  • Vital Care Infusion Services Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Vital Care Infusion Services1211 SE 28TH St, Bentonville, AR 72712-3886(479) 250-9555 Epoetin|Infusion Drugs|Oral Anticancer Drugs|External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies Accepts assignmentParticipating since Jan 13, 2022

National Provider Directory

National Provider Directory
Tax ID family
Tristate Infusion LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1306680061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 SE 28TH ST STE 10",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123970",
            "telephone_number": "479-250-9555",
            "fax_number": "866-220-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 SE 28TH ST STE 10",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123970",
            "telephone_number": "479-250-9555",
            "fax_number": "866-220-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE INFUSION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "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": "803-599-7386"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care Infusion Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.