Provider Demographics
NPI:1801470547
Name:INFINITY MEDICAL MANAGEMENT LLC
Entity type:Organization
Organization Name:INFINITY MEDICAL MANAGEMENT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-970-3265
Mailing Address - Street 1:231 MEDICAL PARK DRIVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BLUFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:24605-1531
Mailing Address - Country:US
Mailing Address - Phone:276-322-5400
Mailing Address - Fax:276-322-5557
Practice Address - Street 1:231 MEDICAL PARK DRIVE
Practice Address - Street 2:SUITE 300
Practice Address - City:BLUFIELD
Practice Address - State:VA
Practice Address - Zip Code:24605-1531
Practice Address - Country:US
Practice Address - Phone:276-322-5400
Practice Address - Fax:276-322-5557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-10
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty