Integreted Comprehensive Health Care

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

INTEGRETED COMPREHENSIVE HEALTH CARE

Practice address

4801 N Classen Blvd # 73118
Oklahoma City, OK 73118-4627

Phone

(405) 843-7300

Fax

(405) 843-1306

NPI assigned

Apr 25, 2012

Organization subpart

Yes

Parent organization

ICHC,LLCAs reported in NPPES

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

Authorized official

Name

Mr. Shannon Dejaun Jackson

Title

Case Manger

Phone

(405) 830-1094

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Integreted Comprehensive Health Care

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1750649935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 N CLASSEN BLVD # 73118",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184627",
            "telephone_number": "405-843-7300",
            "fax_number": "405-843-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 N CLASSEN BLVD # 73118",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184627",
            "telephone_number": "405-843-7300",
            "fax_number": "405-843-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRETED COMPREHENSIVE HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ICHC,LLC",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "DEJAUN",
        "authorized_official_title_or_position": "CASE MANGER",
        "authorized_official_telephone_number": "405-830-1094",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SHIZZ10",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrated Immunology Solutions LLC
• Integrated Medical Incorporated
• Integrative Focus, Inc
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• Integrative Focus, Inc.
• Integris
• Integris Ambulatory Care C Orporation
• Integris Ambulatory Care Corp
• Integris Ambulatory Care Corp
• Integris Ambulatory Care Corporation

• Case Management Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Case Management Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.