CUSTOM SCRIPT INFUSION VITAL CARE LLC NPI 1720320088

NPI Information

  • NPI: 1720320088
  • Provider Name: CUSTOM SCRIPT INFUSION VITAL CARE LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: CUSTOM SCRIPT INFUSION VITAL CARE
  • Address: 3738 TEAYS VALLEY RD
    SUITE B
    HURRICANE, WV
    ZIP 25526
  • Phone: (304) 543-3292

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NPI Details

CUSTOM SCRIPT INFUSION VITAL CARE LLC is a durable medical equipment medical supplies in Hurricane, WV. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CUSTOM SCRIPT INFUSION VITAL CARE LLC NPI is 1720320088. The provider is registered as an organization entity type.
The provider Is Doing Business As Custom Script Infusion Vital Care.

The provider's business location address is:

3738 TEAYS VALLEY RD
SUITE B
HURRICANE, WV
ZIP 25526-705
Phone: (304) 543-3292

The provider's authorized official is Chad A Wallace .
The authorized official title is Vp Operations and has the following contact phone number (304) 543-3292.

The enumeration date for this NPI number is 3/25/2013 and was last updated on 12/8/2014.

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
13336L0003XPharmacyLong Term Care PharmacyNo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionMP0552402WEST VIRGINIANo
3333600000XPharmacyMP0552402WEST VIRGINIANo
43336H0001XPharmacyHome Infusion Therapy PharmacyMP0552402WEST VIRGINIANo
5332B00000XDurable Medical Equipment & Medical SuppliesMP0552402WEST VIRGINIAYes

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
17117770001MEDICARE NSCWEST VIRGINIA

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: 3/30/2025

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