Tristate Infusion Clinic, LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

TRISTATE INFUSION CLINIC, LLC

Doing business as

Vital Care Outpatient Infusion Clinic

Practice address

1107 E Matthews Ave Ste C
Jonesboro, AR 72401-4315

Phone

(662) 260-3366

Fax

(662) 260-1568

NPI assigned

Nov 3, 2023

Last updated

Nov 3, 2023By the provider in NPPES

Organization subpart

No

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

(662) 260-3366

Specialties & licenses 1

Addresses

Other names 1

• Vital Care Outpatient Infusion Clinic Doing business as

Tax ID family

Tristate Infusion Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Tristate Infusion Clinic, LLC

  • Infusion Therapy Clinic/Center
  • Bentonville, AR
  • NPI 1811692114
  NPD tax ID

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1427821156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E MATTHEWS AVE STE C",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014315",
            "telephone_number": "662-260-3366",
            "fax_number": "662-260-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 E MATTHEWS AVE STE C",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014315",
            "telephone_number": "662-260-3366",
            "fax_number": "662-260-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE INFUSION CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "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": "662-260-3366"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care Outpatient Infusion Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trinity North Home Health, LLC
• Nathan Sullivan Tripod, DO
• Shelby Tripod, DO
• Cordara Tripp
• Lenora Fay Tripp, RN
• Melissa Tritch
• Natalie Michelle Trotter, MS, ATC, LAT
• Sarah Shirlene Trotter, LAC
• Scarlett Trotter
• Candi Lenca Troutman

• Infusion Therapy Clinic/Center in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Infusion Therapy Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.