1184952608 NPI number — INTEGRA THERAPY SERVICES, LLC

Table of content: (NPI 1184952608)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184952608 NPI number — INTEGRA THERAPY SERVICES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INTEGRA THERAPY SERVICES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184952608
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/20/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT LOUIS
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63158-0101
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-494-6337
Provider Business Mailing Address Fax Number:
888-452-2930

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1433 DOLMAN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT LOUIS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63104-3307
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-494-6337
Provider Business Practice Location Address Fax Number:
888-452-2930
Provider Enumeration Date:
11/20/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BRAGG
Authorized Official First Name:
STACY
Authorized Official Middle Name:
ELIZABETH
Authorized Official Title or Position:
MANAGING MEMBER
Authorized Official Telephone Number:
314-494-6337

Provider Taxonomy Codes

  • Taxonomy code: 224Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)