Tristate Infusion Clinic, LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

TRISTATE INFUSION CLINIC, LLC

Doing business as

Tristate Infusion Clinic, LLC

Practice address

1900 S Walton Blvd Ste 3
Bentonville, AR 72712-6755

Phone

(479) 250-9555

Fax

(866) 220-3710

NPI assigned

Apr 4, 2023

Last updated

Apr 4, 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 McFerrin

Title

Owner

Phone

(479) 250-9555

Specialties & licenses 1

Addresses

Other names 1

• Tristate Infusion Clinic, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

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

  dba Vital Care Outpatient Infusion Clinic

  • Infusion Therapy Clinic/Center
  • Jonesboro, AR
  • NPI 1427821156
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Druid City Infusion

  dba Druid City Vital Care

  • Home Infusion Therapy Pharmacy
  • Northport, AL
  • NPI 1306277397

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tina Kay Merritt Meinholz, MD

  • Allergy Physician
  • Bentonville, AR
  • NPI 1891739660
  Medicare reassignment NPD

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1811692114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S WALTON BLVD STE 3",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126755",
            "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": "1900 S WALTON BLVD STE 3",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126755",
            "telephone_number": "479-250-9555",
            "fax_number": "866-220-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE INFUSION CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "MCFERRIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-250-9555"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tristate Infusion Clinic, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Treetop Counseling LLC
• Anna Grace Trigg, BCBA
• Tripharma Inc (Live Well Pharmacy)
• Triplett,Sanders,Tompkins, Smith & Landers #2 PLLC (Pediatric Dental Associates)
• Mary Anna Tripp, LCSW
• Tristate Infusion, LLC (Vital Care Infusion Services)
• Tristate Infusion, LLC (Vital Care Infusion Services)
• Christen Lynn Trolinger, MHPP
• Stephanie Trost, MS, CCC-SLP, IBCLC
• True Motion LLC (True Motion Physical Therapy and Performance)

• Infusion Therapy Clinic/Center in Bentonville, AR
• Providers in Bentonville, 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 Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.