Organization
PALMETTO INFUSION SERVICES LLC
Active
Other names
Palmetto Infusion Services
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE C HARTLEY (VICE PRESIDENT REIMBURSEMENT)
(803) 227-5447
Entity
Organization
Contact information
Practice address
3105 SUNSET BLVD, WEST COLUMBIA, SC 29169-3425
(800) 809-1265
(803) 772-7782
Mailing address
PO BOX 538476, ATLANTA, GA 30353-8476
(803) 227-5447
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336H0001X
Home Infusion Therapy Pharmacy
11512
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
711512
—
SC
05
—
771357
—
SC
05
—
DE1489
—
SC
05
—
IC0014
—
SC
05
—
IC0015
—
SC
05
—
IC0016
—
SC
05
—
IC0017
—
SC
05
—
IC0018
—
SC
05
—
IC0019
—
SC
05
—
IC0020
—
SC
05
—
IC0021
—
SC
05
—
IC0022
—
SC
05
—
IC0023
—
SC
05
—
IC0024
—
SC
05
—
IC0025
—
SC
05
—
IC0026
—
SC
05
—
IC0027
—
SC
Enumeration date
07/03/2006
Last updated
06/02/2025
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