Organization Active NPI

Dixie Infusion Clinic, LLC

  • Infusion Therapy Clinic/Center
  • Bowling Green, KY
National Provider Identifier
1649947854
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
Practice address
1724 Rockingham Ave Ste 101a
Bowling Green, KY 42104-5840
Phone
(270) 282-8010
NPI assigned
Aug 25, 2021
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
(270) 282-8010

Specialties & licenses 1

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

Addresses

Primary practice location

1724 Rockingham Ave Ste 101a
Bowling Green, KY 42104-5840

Mailing address

1724 Rockingham Ave Ste 101a
Bowling Green, KY 42104-5840
Phone (270) 282-8010

Other names 1

  • Dixie Vital Care infusion Center Doing business as

National Provider Directory

National Provider Directory

Locations

1724 Rockingham Ave
Ste 101A
Bowling Green, KY 42104
Phone (270) 282-8010

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1649947854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 ROCKINGHAM AVE STE 101A",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045840",
            "telephone_number": "270-282-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 ROCKINGHAM AVE STE 101A",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045840",
            "telephone_number": "270-282-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXIE INFUSION CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "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": "270-282-8010"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dixie Vital Care infusion Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, 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.