Integro Health Systems, Inc.
Organization Active NPI Community/Behavioral Health Agency · Phoenix, AZ
NPI 1154846517 · NPPES record last updated Dec 10, 2018
Key facts
- NPI
- 1154846517
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- INTEGRO HEALTH SYSTEMS, INC.
- Practice address
- 2728 N 24TH St
Phoenix, AZ 85008-1050 - Phone
- (602) 535-8200
- Fax
- (602) 457-2517
- NPI assigned
- Aug 7, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- INTEGRO HEALTH SYSTEMS, INC.
Authorized official
- Name
- Dr. Marco Valerio Canulla, MD
- Title
- Ceo
- Phone
- (602) 571-6521
National Provider Directory
- Part of
- Integro Health Systems
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
2728 N 24TH St
Phoenix, AZ 85008-1050
Mailing address
1501 E Orangewood Ave
Phoenix, AZ 85020-5130
Phone (602) 535-8200
Other names
- Integro Health Systems Outpatient Services
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.