Organization Active NPI

Intergrated Medical Services, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Winchester, VA
National Provider Identifier
1154967214
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
INTERGRATED MEDICAL SERVICES, LLC
Practice address
1001 Berryville Ave
Winchester, VA 22601-5900
Phone
(703) 743-4060
Fax
(540) 784-4464
NPI assigned
Nov 25, 2019
Last updated
Apr 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Lisette De Leon
Title
Office Manager
Phone
(703) 743-4060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1001 Berryville Ave
Winchester, VA 22601-5900

Mailing address

1001 Berryville Ave
Winchester, VA 22601-5900
Phone (703) 743-4060

Other practice location 1

101 Medical Ct Ste 206
Martinsburg, WV 25401-3854
Phone (540) 779-0607

National Provider Directory

National Provider Directory
Tax ID family
Intergrated Medical Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 Medical Ct
Ste 206
Martinsburg, WV 25401
Phone (540) 779-0607

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1154967214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BERRYVILLE AVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226015900",
            "telephone_number": "703-743-4060",
            "fax_number": "540-784-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BERRYVILLE AVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226015900",
            "telephone_number": "703-743-4060",
            "fax_number": "540-784-4464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Medical Ct Ste 206",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254013854",
            "country_code": "US",
            "telephone_number": "540-779-0607",
            "fax_number": "540-784-4464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTERGRATED MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "LISETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-743-4060"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.