Provider Demographics
NPI:1316529126
Name:INTRAMED PLUS, INC
Entity type:Organization
Organization Name:INTRAMED PLUS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CFO/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-679-6137
Mailing Address - Street 1:112 SALUDA RIDGE CT STE 100
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29169-3461
Mailing Address - Country:US
Mailing Address - Phone:803-794-0200
Mailing Address - Fax:803-794-0404
Practice Address - Street 1:112 SALUDA RIDGE CT STE 100
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-3461
Practice Address - Country:US
Practice Address - Phone:803-794-0200
Practice Address - Fax:803-794-0404
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTRAMED PLUS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-22
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion