Provider Demographics
NPI:1174616072
Name:HBC INFUSION SERVICES, LLC
Entity type:Organization
Organization Name:HBC INFUSION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:THOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-733-0280
Mailing Address - Street 1:4520 LINDEN CREEK
Mailing Address - Street 2:SUITE D
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507
Mailing Address - Country:US
Mailing Address - Phone:810-720-3775
Mailing Address - Fax:810-720-3835
Practice Address - Street 1:7277 BERNICE
Practice Address - Street 2:SUITE A
Practice Address - City:CENTERLINE
Practice Address - State:MI
Practice Address - Zip Code:48015
Practice Address - Country:US
Practice Address - Phone:586-155-2496
Practice Address - Fax:586-497-9364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4703528Medicaid
MI4703528Medicaid