Provider Demographics
NPI:1033367222
Name:FIRST INFUSION
Entity Type:Organization
Organization Name:FIRST INFUSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:RYAN WOLFE
Authorized Official - Last Name:CREAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-780-2755
Mailing Address - Street 1:882 N JAN MAR CT
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-3692
Mailing Address - Country:US
Mailing Address - Phone:913-780-2755
Mailing Address - Fax:913-764-5065
Practice Address - Street 1:882 N JAN MAR CT
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-3692
Practice Address - Country:US
Practice Address - Phone:913-780-2755
Practice Address - Fax:913-764-5065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies