NPIMap

Organization Active NPI

Ingram Health Consulting

  • Primary Care Clinic/Center
  • De Kalb, TX
National Provider Identifier
1023632619
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
INGRAM HEALTH CONSULTING
Doing business as
BEACON INTEGRATED HEALTHCARE
Practice address
1250 S Runnels St
De Kalb, TX 75559-2317
Phone
(903) 280-8173
NPI assigned
May 30, 2020
Organization subpart
Yes
Parent organization
INGRAM HEALTH CONSULTINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Authorized official

Name
Antonio Denard Ingram, APRNNPI 1144585761
Title
FNP
Phone
(903) 280-8173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1250 S Runnels St
De Kalb, TX 75559-2317

Mailing address

118 Wood St Ofc 1
De Kalb, TX 75559-2112
Phone (903) 280-8173

Other names 1

  • BEACON INTEGRATED HEALTHCARE Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL eclinicalworks Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Part of
Ingram Health Consulting

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1023632619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 WOOD ST OFC 1",
            "city": "DE KALB",
            "state": "TX",
            "postal_code": "755592112",
            "telephone_number": "903-280-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S RUNNELS ST",
            "city": "DE KALB",
            "state": "TX",
            "postal_code": "755592317",
            "telephone_number": "903-280-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRAM HEALTH CONSULTING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INGRAM HEALTH CONSULTING",
        "enumeration_date": "2020-05-30",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "DENARD",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "903-280-8173",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eclinicalworks",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1250 S Runnels St",
            "city": "DE Kalb",
            "state": "TX",
            "country_code": "US",
            "postal_code": "755592317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BEACON INTEGRATED HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in De Kalb, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.