NPIMap

Organization Active NPI

Integrated Resources, Inc.

  • Community/Behavioral Health Agency
  • Maben, WV
National Provider Identifier
1316350259
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
276 Issued in WV
Legal business name
INTEGRATED RESOURCES, INC.
Practice address
3776 Mountaineer Highway
Maben, WV 25870-0000
Phone
(304) 294-5610
Fax
(304) 294-5617
NPI assigned
Jun 9, 2014
Last updated
Jun 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Earl D Smith
Title
Executive Director
Phone
(304) 294-5610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 276 WV Primary

Addresses

Primary practice location

3776 Mountaineer Highway
Maben, WV 25870-0000

Mailing address

PO Box 835
Mullens, WV 25882-0835
Phone (304) 294-5610

Other identifiers 1

IdentifierTypeStateIssuer
3810025595MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Integrated Resources Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 104

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.

View all 104

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1316350259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 835",
            "city": "MULLENS",
            "state": "WV",
            "postal_code": "258820835",
            "telephone_number": "304-294-5610",
            "fax_number": "304-294-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3776 MOUNTAINEER HIGHWAY",
            "city": "MABEN",
            "state": "WV",
            "postal_code": "258700000",
            "telephone_number": "304-294-5610",
            "fax_number": "304-294-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-294-5610"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810025595",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maben, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.