Organization Name: | INTEGRATED MEDICAL SERVICES, INC. |
NPI Number: | 1629256219 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEAN A JONES (OWNER) |
Mailing Address: | 7306 Central Ave Capitol Heights |
State: | MD US |
Postal Code: | 207432773 |
Phone Number: | 3016740249 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2008 |
NPI Last Update Date: | 02/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |