Provider Demographics
NPI:1982727038
Name:AMERICAN INFUSION SERVICES INC
Entity Type:Organization
Organization Name:AMERICAN INFUSION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:PARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-330-0300
Mailing Address - Street 1:4113 BIRNEY AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MOOSIC
Mailing Address - State:PA
Mailing Address - Zip Code:18507-1301
Mailing Address - Country:US
Mailing Address - Phone:570-343-7883
Mailing Address - Fax:570-343-7886
Practice Address - Street 1:4113 BIRNEY AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:MOOSIC
Practice Address - State:PA
Practice Address - Zip Code:18507-1301
Practice Address - Country:US
Practice Address - Phone:570-343-7883
Practice Address - Fax:570-343-7886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP481200332B00000X, 332BP3500X, 333600000X, 3336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1012799200001Medicaid
PA4569020002Medicare NSC