Organization Active NPI

Integrated Health Services Incorporated

  • General Practice Physician
  • Monroe, LA
National Provider Identifier
1023260486
Registry record updated Oct 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
07043R Issued in LA
Legal business name
INTEGRATED HEALTH SERVICES INCORPORATED
Practice address
2101 Tower Dr
Monroe, LA 71201-5045
Phone
(318) 410-1044
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Alicia Tennant
Title
Business Owner
Phone
(318) 410-1044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 07043R LA Primary

Addresses

Primary practice location

2101 Tower Dr
Monroe, LA 71201-5045

Mailing address

PO Box 14282
Monroe, LA 71207-4282
Phone (318) 410-1044

National Provider Directory

National Provider Directory

Locations

2101 Tower Dr
Monroe, LA 71201
Phone (318) 323-1300

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1023260486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14282",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712074282",
            "telephone_number": "318-410-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 TOWER DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015045",
            "telephone_number": "318-410-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "TENNANT",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "318-410-1044",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "LA",
            "license": "07043R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.