Northside Home Infusion

LBN: Professionals Prn Llc
Northside Home Infusion is an health care organization with primary practice located at 21 N Maysville Ave , Zanesville OH 43701-6110. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Professionals Prn Llc can be contacted via phone (740) 452-2447, or through Stickrath, Rod via phone (740) 454-5666.

Contact Information

Primary practice address
21 N Maysville Ave Zanesville OH 43701-6110
Phone: (740) 452-2447
Fax: (740) 452-1399
Website:
Map and Directions
Authorized official contact:
Name: Stickrath, Rod
Phone: (740) 454-5666

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 021068550 Ohio

Profile Details

NPI number 1376955914
LBN Legal business name Professionals Prn Llc
DBA Doing business as Northside Home Infusion
Authorized official Stickrath, Rod
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2014
Last updated Jun 2nd, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376955914 NPPES
Ohio MEDICAID 2056902
Ohio Other 2145998

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