Active NPI
Medical Infusion Technologies, Inc.
- Durable Medical Equipment & Medical Supplies
- Savannah, GA
National Provider Identifier
1467711028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- PHRE007353
- Legal business name
- MEDICAL INFUSION TECHNOLOGIES, INC.
- Practice address
- 115 Echols Ave
Savannah, GA 31406-2527 - Phone
- (912) 691-0333
- Fax
- (912) 691-1030
- NPI assigned
- May 16, 2012
- 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
- Mr. William C Parker
- Title
- Ceo
- Phone
- (912) 354-3122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PHRE007353 | GA | Primary |
Addresses
Primary practice location
115 Echols Ave
Savannah, GA 31406-2527
Mailing address
115 Echols Ave
Savannah, GA 31406-2527
Phone (912) 691-0333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000493259B | Medicaid | GA |
Other names 1
- Medical Infusion Technologies DME
National Provider Directory
National Provider Directory- Tax ID family
- Infuserv Corporation
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Infusion Therapy Clinic/Center
- Augusta, GA
- NPI 1447218144
-
- Infusion Therapy Clinic/Center
- Fredericksburg, VA
- NPI 1093160566
-
- Home Infusion Agency
- Ridgeland, SC
- NPI 1598088353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337126400000",
"number": "1467711028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 ECHOLS AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062527",
"telephone_number": "912-691-0333",
"fax_number": "912-691-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 ECHOLS AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062527",
"telephone_number": "912-691-0333",
"fax_number": "912-691-1030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL INFUSION TECHNOLOGIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-16",
"last_updated": "2012-05-16",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "912-354-3122",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "GA",
"license": "PHRE007353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000493259B",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical Infusion Technologies DME",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.