Integrated Health Center LLC
Organization Active NPI Chiropractor · Loudonville, OH
NPI 1962698381 · NPPES record last updated Nov 4, 2014
Key facts
- NPI
- 1962698381
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC3106 (OH)
- Legal business name
- INTEGRATED HEALTH CENTER LLC
- Practice address
- 226 E Burwell Ave
Loudonville, OH 44842-9504 - Phone
- (419) 994-5222
- Fax
- (419) 994-4443
- NPI assigned
- Sep 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Nathan Jeremiah Stinemetz, DC
- Title
- Physician
- Phone
- (419) 994-5222
Practitioners 4
-
Steven D Smith, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110307000855 | OH | Part B Supplier - Clinic/Group Practice | 9739361171 |
Receives reassigned benefits from 2 practitioners Practice locations: Loudonville, OH; Mount Vernon, OH |
National Provider Directory
Locations
226 E Burwell Ave
Loudonville, OH 44842
Phone (419) 994-5222
60 Parrott St
Mount Vernon, OH 43050
Phone (740) 830-6446
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | DC3106 | OH | Yes |
Addresses
Primary practice location
226 E Burwell Ave
Loudonville, OH 44842-9504
Mailing address
PO Box 715
Danville, OH 43014-0715
Phone (740) 599-7562
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3103733 | Medicaid | OH | |
| 000000230223 | Other | OH | ANTHEM BC/BS OF OHIO |
Other providers in Loudonville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.