Provider Demographics
NPI:1053054817
Name:INFUSION CARE, LLC
Entity type:Organization
Organization Name:INFUSION CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:TOLE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:334-744-1869
Mailing Address - Street 1:1925 E GLENN AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-5729
Mailing Address - Country:US
Mailing Address - Phone:334-521-0073
Mailing Address - Fax:334-521-0394
Practice Address - Street 1:1925 E GLENN AVE STE 203
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-5729
Practice Address - Country:US
Practice Address - Phone:334-521-0073
Practice Address - Fax:334-521-7898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-19
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL128735Medicaid