Organization
PATIENT CARE INFUSION
Active
Other names
Arizona Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ALLEN COSTON (AR MANAGER)
(602) 252-5000
Entity
Organization
Contact information
Practice address
1626 S EDWARD DR, TEMPE, AZ 85281-6200
(602) 252-5000
(602) 323-5070
Mailing address
1626 S EDWARD DR, TEMPE, AZ 85281-6200
(602) 252-5000
(602) 323-5070
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
303
AZ
332BX2000X
Oxygen Equipment & Supplies (DME)
303
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312512
—
AZ
Enumeration date
04/26/2007
Last updated
11/05/2010
Update your record
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