Organization Active NPI

Divine Integrity Allied Healthcare Services

  • Preferred Provider Organization
  • Midland, TX
National Provider Identifier
1649706227
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
DIVINE INTEGRITY ALLIED HEALTHCARE SERVICES
Practice address
4738 Bedford Ave
Midland, TX 79703-4535
Phone
(432) 889-2666
NPI assigned
May 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Authorized official

Name
Tameka Polk, MSN, RN
Title
Administrator
Phone
(432) 889-2666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X TX Primary

Addresses

Primary practice location

4738 Bedford Ave
Midland, TX 79703-4535

Mailing address

PO Box 9732
Midland, TX 79708-9732
Phone (432) 889-2666

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1649706227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9732",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797089732",
            "telephone_number": "432-889-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4738 BEDFORD AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034535",
            "telephone_number": "432-889-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE INTEGRITY ALLIED HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "TAMEKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "432-889-2666",
        "authorized_official_credential": "MSN, RN"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.