Provider Demographics
NPI:1124318928
Name:ABBOTT INFUSION CARE LTD
Entity type:Organization
Organization Name:ABBOTT INFUSION CARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:740-295-7010
Mailing Address - Street 1:PO BOX 1076
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-5076
Mailing Address - Country:US
Mailing Address - Phone:740-295-7010
Mailing Address - Fax:740-295-7020
Practice Address - Street 1:720 S 2ND ST
Practice Address - Street 2:SUITE B
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-1947
Practice Address - Country:US
Practice Address - Phone:740-295-7010
Practice Address - Fax:740-295-7020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-13
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3138330Medicaid
OH3138330Medicaid