Provider Demographics
NPI:1952675340
Name:IINFUSION CARE LLC
Entity Type:Organization
Organization Name:IINFUSION CARE LLC
Other - Org Name:IINFUSION CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROCKFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:641-357-1522
Mailing Address - Street 1:560 US HIGHWAY 18 E STE C
Mailing Address - Street 2:
Mailing Address - City:CLEAR LAKE
Mailing Address - State:IA
Mailing Address - Zip Code:50428-1439
Mailing Address - Country:US
Mailing Address - Phone:641-357-1522
Mailing Address - Fax:641-357-1469
Practice Address - Street 1:560 US HIGHWAY 18 E STE C
Practice Address - Street 2:
Practice Address - City:CLEAR LAKE
Practice Address - State:IA
Practice Address - Zip Code:50428-1439
Practice Address - Country:US
Practice Address - Phone:641-357-1522
Practice Address - Fax:641-357-1469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-02
Last Update Date:2012-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA261QI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy