Organization
RCIV, LLC
Active
Other names
Vital Care of Chattanooga
Organization subpart
No
Provider details
NPI number
Authorized official
COREY BUSH (MEMBER)
(423) 206-9840
Entity
Organization
Contact information
Practice address
1200 MOUNTAIN CREEK RD STE 440, CHATTANOOGA, TN 37405-6101
(423) 206-9840
(423) 206-9841
Mailing address
1200 MOUNTAIN CREEK RD STE 440, CHATTANOOGA, TN 37405-6101
(423) 206-9840
(423) 206-9841
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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