Provider Demographics
NPI:1982756516
Name:INFUSERV CORPORATION
Entity type:Organization
Organization Name:INFUSERV CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:T
Authorized Official - Last Name:MEHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-777-4847
Mailing Address - Street 1:7604 WATERS AVE
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-3897
Mailing Address - Country:US
Mailing Address - Phone:912-777-4847
Mailing Address - Fax:912-777-4847
Practice Address - Street 1:7604 WATERS AVE
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3897
Practice Address - Country:US
Practice Address - Phone:912-777-4847
Practice Address - Fax:912-777-4847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251F00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA0268060001Medicare ID - Type Unspecified