Integrated Medical Center, L.L.C.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

INTEGRATED MEDICAL CENTER, L.L.C.

Practice address

525 Eastern Ave Ste B1
Fairmount Heights, MD 20743-1677

Phone

(301) 333-3770

Fax

(301) 333-3779

NPI assigned

Mar 7, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Cheryl Denise Jones

Title

Administrator

Phone

(301) 333-3770

Specialties & licenses 1

Addresses

Other names 1

• Integrated Medical Services, Inc Former legal business name

Locations

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1154591923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 EASTERN AVE STE B1",
            "city": "FAIRMOUNT HEIGHTS",
            "state": "MD",
            "postal_code": "207431677",
            "telephone_number": "301-333-3770",
            "fax_number": "301-333-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 EASTERN AVE STE B1",
            "city": "FAIRMOUNT HEIGHTS",
            "state": "MD",
            "postal_code": "207431677",
            "telephone_number": "301-333-3770",
            "fax_number": "301-333-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-333-3770",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Medical Services, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Virginis Deborah Chase
• Divine Connection Healthcare LLC
• Adrienne Grimes
• Leonard Edwards Haigler Sr., PDW
• Maxine Hanson
• Napoleon Jones
• Brenda Lyons, DDS
• Arun Mansaray
• Tembuh Sonita Manyong I
• Mohmoh Healthcare Services, LLC

• Health Service Clinic/Center in Fairmount Heights, MD
• Providers in Fairmount Heights, MD by specialty
• Health Service Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.