Intergrated Medical Services, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

INTERGRATED MEDICAL SERVICES, LLC

Practice address

101 Medical CT Ste 206
Martinsburg, WV 25401-3854

Phone

(540) 779-0607

Fax

(540) 784-4464

NPI assigned

Jan 25, 2022

Organization subpart

No

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

Authorized official

Name

Lisette De Leon

Title

Coo/Office Manager

Phone

(703) 743-4060

Specialties & licenses 2

Addresses

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.

• Intergrated Medical Services, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Winchester, VA
  • NPI 1154967214
  NPD tax ID

Locations

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1659023299",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEDICAL CT STE 206",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013854",
            "telephone_number": "540-779-0607",
            "fax_number": "540-784-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERGRATED MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "LISETTE",
        "authorized_official_title_or_position": "COO/OFFICE MANAGER",
        "authorized_official_telephone_number": "703-743-4060"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Ingram
• Kasey Ingram
• Inner Awakening Counseling & Consultation, PLLC
• Christopher Michael Inquanti
• Integrated Medical Clinic
• Internal Medicine & Geriatric Specialists, Inc.
• Internal Medicine of West Virginia, PLLC
• Shannah Irish, PSYCHOLOGIST
• Laura Michele Irwin, R.PH,PHARM.D, CPS
• Alindon Isaacs, RDN

• Substance Use Disorder Rehabilitation Clinic/Center in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.