OPTUM INFUSION SERVICES 305, LLC
Medical Equipment Supplier Yellow Pages
Lenexa, Kansas
Provider NPI: 1366603854
Organization Information:Organization Name: OPTUM INFUSION SERVICES 305, LLC
Practice Location:
15529 COLLEGE BLVD LENEXA, KS 66219 US
Tel: 877-342-9352 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
15529 COLLEGE BLVD LENEXA, KS 66219 US
Tel: 877-342-9352 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 251F00000X | Agencies Home Infusion | KS | 2-13075 |
N | 332BP3500X | Suppliers Durable Medical Equipment & Medical Supplies | KS | 2-13075 |
N | 3336C0003X | Suppliers Pharmacy | KS | 2-13075 |
Y | 3336H0001X | Suppliers Pharmacy | KS | 2-13075 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
200565770B | KS | 05 | |
200565770C | KS | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin