Provider Demographics
NPI:1568800217
Name:MARBLE CITY HEALTH AND INFUSION SERVICES LLC
Entity Type:Organization
Organization Name:MARBLE CITY HEALTH AND INFUSION SERVICES LLC
Other - Org Name:VITAL CARE OF NORTHWEST ALABAMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:BRINDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-740-3999
Mailing Address - Street 1:416 N SEMINARY ST STE 1400
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-4688
Mailing Address - Country:US
Mailing Address - Phone:256-740-3999
Mailing Address - Fax:256-245-4678
Practice Address - Street 1:416 N SEMINARY ST STE 1400
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-4688
Practice Address - Country:US
Practice Address - Phone:256-740-3999
Practice Address - Fax:256-245-4678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-04
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL114167332B00000X, 332BP3500X, 333600000X, 3336C0004X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL6982160001OtherNSC
AL151372Medicaid
AL6982160001Medicare NSC