Optum Infusion Services 404, Llc in Bend - Parenteral & Enteral Nutrition

Optum Infusion Services 404, Llc - NPI 1972640712

Optum Infusion Services 404, Llc is a Parenteral & Enteral Nutrition in Bend, Oregon. Optum Infusion Services 404, Llc practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for Optum Infusion Services 404, Llc is 1972640712. The last update date is 2023-06-08.

Optum Infusion Services 404, Llc's current location address is 2065 Ne Williamson Court, Unit B, Bend, Oregon. You can contact this provider via phone number 8772123516 and fax number 8772125611. The mailing address for Optum Infusion Services 404, Llc is 2065 Ne Williamson Court, Unit B, Bend, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Optum Infusion Services 404, Llc
Address 2065 Ne Williamson Court, Unit B, Bend, Oregon
Phone Number 8772123516
Fax Number 8772125611
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SECRETARY
Authorized Official Name Burr Eugene Kevin
Telephone Number 7123104701

NPI Number Detail

NPI Number 1972640712
Provider Enumeration Date 2007-01-31
Last Updated Date 2023-06-08

Provider Mailing Address Detail

Address 2065 Ne Williamson Court, Unit B
City Bend
State Oregon (OR)
Post Code 97701
Phone Number 8772123516
Fax Number 8772125611

Provider's Primary Taxonomy Detail

Speciality Parenteral & Enteral Nutrition
Taxonomy 332Bp3500X
Licence No RP-0001153-C
Definition:
Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6044 OR --

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FAQs about Optum Infusion Services 404, Llc

What is the unique identifier code issued to Optum Infusion Services 404, Llc by the Centers for Medicare & Medicaid Services?

The Optum Infusion Services 404, Llc has been assigned the NPI (National Provider Identifier) 1972640712. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Optum Infusion Services 404, Llc's facilities are situated?

The facilities of Optum Infusion Services 404, Llc are physically located at the following address: 2065 Ne Williamson Court, Unit B, Bend, OR, 97701.

What is Optum Infusion Services 404, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Optum Infusion Services 404, Llc is Parenteral & Enteral Nutrition, and the corresponding taxonomy classification code for this specialized field is 332Bp3500X.

On what date did Optum Infusion Services 404, Llc receive its 1972640712 assignment from the Centers for Medicare & Medicaid Services?

The Optum Infusion Services 404, Llc was assigned its 1972640712 on 2007-01-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Optum Infusion Services 404, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Optum Infusion Services 404, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-06-08.

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