NPIMap

Organization Active NPI

Integrated Health Management

  • Community/Behavioral Health Agency
  • Eugene, OR
National Provider Identifier
1770944506
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
OR-10041-M Issued in OR
Legal business name
INTEGRATED HEALTH MANAGEMENT
Practice address
715 Lincoln St
Eugene, OR 97401-2502
Phone
(541) 344-3574
Fax
(541) 344-5652
NPI assigned
Mar 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Authorized official

Name
Patricia Ewing
Title
Director
Phone
(503) 353-9415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OR-10041-M OR Primary

Addresses

Primary practice location

715 Lincoln St
Eugene, OR 97401-2502

Mailing address

715 Lincoln St
Eugene, OR 97401-2502
Phone (541) 344-3574

Other identifiers 1

IdentifierTypeStateIssuer
230475MedicaidOR

Other names 1

  • Integrated Health Clinics Doing business as

National Provider Directory

National Provider Directory

Locations

715 Lincoln St
Eugene, OR 97401
Phone (541) 344-3574

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1770944506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 LINCOLN ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012502",
            "telephone_number": "541-344-3574",
            "fax_number": "541-344-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 LINCOLN ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012502",
            "telephone_number": "541-344-3574",
            "fax_number": "541-344-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-353-9415"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "OR-10041-M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230475",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Health Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.