1326464744 NPI number — INTEGRITY WOMEN'S HEALTH, LLC

Table of content: (NPI 1326464744)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326464744 NPI number — INTEGRITY WOMEN'S HEALTH, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INTEGRITY WOMEN'S HEALTH, 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:
HAMILTON NATURAL MEDICINE, LLC
Provider Other Organization Name Type Code:
4
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:
1326464744
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/24/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
27 COLLEGE STREET
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
SOUTH HADLEY
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01075
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-535-9930
Provider Business Mailing Address Fax Number:
844-400-6506

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
27 COLLEGE STREET
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
SOUTH HADLEY
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01075
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-535-9930
Provider Business Practice Location Address Fax Number:
844-400-6506
Provider Enumeration Date:
03/10/2014

Additional Information

Authorized Official

Authorized Official Last Name:
HAMILTON
Authorized Official First Name:
KINDRETH
Authorized Official Middle Name:
Authorized Official Title or Position:
MEMBER/OWNER
Authorized Official Telephone Number:
413-535-9930

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 171100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2024 www.npivalidator.com