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TWELVESTONE MEDICAL INC NPI 1063110039


NPI Information

NPI: 1063110039
Provider Name: TWELVESTONE MEDICAL, INC
Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

CLIA Number: 11D2283661

Address:
1206 POINTE CENTRE DR STE 240
CHATTANOOGA, TN
ZIP 37421
Phone: (844) 893-0012
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TWELVESTONE MEDICAL, INC is a home infusion therapy pharmacy pharmacy in Chattanooga, TN. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. TWELVESTONE MEDICAL, INC NPI is 1063110039. The provider is registered as an organization entity type.

The provider's business location address is:

1206 POINTE CENTRE DR STE 240
CHATTANOOGA, TN
ZIP 37421-670
Phone: (844) 893-0012

The provider's authorized official is William Shane Reeves .
The authorized official title is Ceo, President, Secretary, Ao and has the following contact phone number (615) 278-3146.

The CLIA number assigned to this NPI record is 11D2283661 - other - infusion center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2023 and was last updated on 2/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336H0001XPharmacyHome Infusion Therapy PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17553OTHERTENNESSEETN BOP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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