| Axiva Infusion Centers - Hv Llc | |
|
2042 County Line Rd Huntingdon Valley PA 19006-1739 | |
| (267) 609-2001 | |
| (267) 609-2010 |
| Full Name | Axiva Infusion Centers - Hv Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2042 County Line Rd, Huntingdon Valley, Pennsylvania |
| Authorized Official Name and Position | Colleen S Shapiro (MANAGING MEMBER) |
| Authorized Official Contact | 8444429482 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Axiva Infusion Centers - Hv Llc 2042 County Line Road Huntingdon Valley PA 19006-4929 Ph: (844) 442-9482 | Axiva Infusion Centers - Hv Llc 2042 County Line Rd Huntingdon Valley PA 19006-1739 Ph: (267) 609-2001 |
| NPI Number | 1528527256 |
|---|---|
| Provider Enumeration Date | 03/12/2019 |
| Last Update Date | 08/21/2024 |
| Medicare PECOS PAC ID | 4688908957 |
|---|---|
| Medicare Enrollment ID | O20190813000835 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528527256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QI0500X | Clinic/center - Infusion Therapy | (* (Not Available)) | Primary |
| Provider Name | Monifa Thelwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629734298 PECOS PAC ID: 7113227133 Enrollment ID: I20220131000669 |
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