Organization Active NPI

Integrated Health Center, Inc.

  • Chiropractor
  • Alexandria, MN
National Provider Identifier
1760654453
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
INTEGRATED HEALTH CENTER, INC.
Practice address
418 3Rd Ave E Ste 101
Alexandria, MN 56308-1574
Phone
(320) 762-2311
Fax
(320) 762-8942
NPI assigned
Apr 2, 2008
Last updated
Apr 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Dr. Gregory James Klepetka, D.C.NPI 1639262728
Title
Cfo
Phone
(320) 762-2311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MN Primary

Addresses

Primary practice location

418 3Rd Ave E Ste 101
Alexandria, MN 56308-1574

Mailing address

418 3Rd Ave E Ste 101
Alexandria, MN 56308-1574
Phone (320) 762-2311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080806000077 MN Part B Supplier - Clinic/Group Practice 6305910555 Receives reassigned benefits from 2 practitioners
Practice locations: Alexandria, MN

National Provider Directory

National Provider Directory

Locations

418 3rd Ave E
Alexandria, MN 56308
Phone (320) 762-2311

418 3rd Ave E
Ste 101
Alexandria, MN 56308
Phone (320) 762-2311

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1760654453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 3RD AVE E STE 101",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081574",
            "telephone_number": "320-762-2311",
            "fax_number": "320-762-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 3RD AVE E STE 101",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081574",
            "telephone_number": "320-762-2311",
            "fax_number": "320-762-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "KLEPETKA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "320-762-2311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.