Provider Demographics
NPI:1760038848
Name:INTRAMED PLUS INFUSION & MEDICAL SERVICES, PA
Entity Type:Organization
Organization Name:INTRAMED PLUS INFUSION & MEDICAL SERVICES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:VARNER
Authorized Official - Middle Name:R
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-794-0200
Mailing Address - Street 1:112 SALUDA RIDGE CT STE 200
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29169-3461
Mailing Address - Country:US
Mailing Address - Phone:803-794-0200
Mailing Address - Fax:
Practice Address - Street 1:1200 WOODRUFF RD STE G24
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5735
Practice Address - Country:US
Practice Address - Phone:803-794-0200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTRAMED PLUS INFUSION & MEDICAL SERVICES, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-14
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy