Integracarellc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

04-37763 Issued in KS

Legal business name

INTEGRACARELLC

Doing business as

Integracare

Practice address

322 Karen Ave Unit 3107
Las Vegas, NV 89109-0446

Phone

(816) 588-6896

NPI assigned

Jan 30, 2015

Last updated

Jan 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Harbin, MD

Title

Ceo

Phone

(816) 588-6896

Specialties & licenses 1

Addresses

Other names 1

• INTEGRACARE Doing business as

Locations

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1750771606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 N CYPRESS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 KAREN AVE UNIT 3107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891090446",
            "telephone_number": "816-588-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRACARELLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "HARBIN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-588-6896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KS",
            "license": "04-37763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRACARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Primary Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.