| Organization Name: | INTEG HEALTH SYSTEM, P.C. |
| NPI Number: | 1013999580 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REX DANIEL GROSSMAN (PRESIDENT, SECRETARY, & TREASURER) |
| Mailing Address: | 1011 W 2nd St Bloomington |
| State: | IN US |
| Postal Code: | 474032216 |
| Phone Number: | 8123341213 |
| Fax Number: | 8123335039 |
| NPI Enumeration Date: | 11/18/2005 |
| NPI Last Update Date: | 02/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 50003177A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |