NPIMap

Organization Active NPI

Integrative Medicine Centre LLC

  • Chiropractor
  • Fairhope, AL
National Provider Identifier
1114192812
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1206 Issued in AL
Legal business name
INTEGRATIVE MEDICINE CENTRE LLC
Practice address
315 Magnolia Ave
Fairhope, AL 36532-2413
Phone
(251) 990-8188
Fax
(251) 990-8159
NPI assigned
Apr 24, 2008
Last updated
Apr 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Dr. John Lee Stump, DC, EDD, L.AC
Title
Director
Phone
(251) 990-8188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1206 AL Primary

Addresses

Primary practice location

315 Magnolia Ave
Fairhope, AL 36532-2413

Mailing address

PO Box 1390
Fairhope, AL 36533-1390
Phone (251) 990-8188

National Provider Directory

National Provider Directory

Locations

915 Plantation Blvd
Fairhope, AL 36532
Phone (251) 732-2635

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1114192812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1390",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365331390",
            "telephone_number": "251-990-8188",
            "fax_number": "251-990-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MAGNOLIA AVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322413",
            "telephone_number": "251-990-8188",
            "fax_number": "251-990-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICINE CENTRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "STUMP",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "251-990-8188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, EDD, L.AC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.