Organization
DIXIE INFUSION PHARMACY, LLC
Active
Other names
Dixie Vital Care - AIC
Organization subpart
No
Provider details
NPI number
Authorized official
NAVAS SOFIA YOONUS-KUNJU (OWNER)
(615) 525-3142
Entity
Organization
Contact information
Practice address
311 LANDRUM PL STE 600, CLARKSVILLE, TN 37043-6319
(931) 241-5655
(931) 241-5654
Mailing address
311 LANDRUM PL STE 600, CLARKSVILLE, TN 37043-6319
(931) 241-5655
(931) 241-5654
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103G700425
LOCAL MEDICARE - PART B
TN
Enumeration date
09/21/2018
Last updated
09/21/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us