CUSTOM HEALTHCARE NPI 1891868204

NPI Information

NPI: 1891868204
Provider Name: CUSTOM HEALTHCARE

Doing Business As: PPS INFUSION PHARMACY

Classification: Home Infusion - 251F00000X
Entity Type: Organization
Address:
6227 LEE HIGHWAY
SUITE I
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 893-9335
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CUSTOM HEALTHCARE is a home infusion in Chattanooga, TN. CUSTOM HEALTHCARE NPI is 1891868204. The provider is registered as an organization entity type.
The provider Is Doing Business As Pps Infusion Pharmacy.

The provider's business location address is:

6227 LEE HIGHWAY
SUITE I
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 893-9335
Fax: (423) 893-9336

The provider's authorized official is Wanda S Key .
The authorized official title is President Of Operations and has the following contact phone number (423) 697-0057.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 3/8/2019.

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
1	251F00000X	Home Infusion		73387	TENNESSEE	Yes

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
1	1452932	MEDICAID	TENNESSEE

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: 4/28/2024

NPI Synchronization or Removal

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