Integrated Medical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

HMEL 11018 Issued in OH

Legal business name

INTEGRATED MEDICAL INC

Practice address

11423 Upper Gilchrist Rd
Mount Vernon, OH 43050-8946

Phone

(866) 998-5659

Fax

(740) 397-2167

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Miss Jennifer Sylvester

Title

General Manager

Phone

(216) 823-0091

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1043301781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15627 NEO PKWY",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441283150",
            "telephone_number": "216-823-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11423 UPPER GILCHRIST RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430508946",
            "telephone_number": "866-998-5659",
            "fax_number": "740-397-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "SYLVESTER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "216-823-0091",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "HMEL 11018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2503624",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.