Integrated Health Center Corp

LBN: Integrated Health Center Corp
Integrated Health Center Corp is an health care organization with primary practice located at 8600 Tara Blvd Suite D, Jonesboro GA 30236. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Dental Providers / Dentist, Agencies / Foster Care Agency, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Integrated Health Center Corp can be contacted via phone (678) 834-7615, or through Frazier, Rodrick via phone (678) 765-2733.

Contact Information

Primary practice address
8600 Tara Blvd Suite D Jonesboro GA 30236
Phone: (678) 834-7615
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Frazier, Rodrick
Phone: (678) 765-2733

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Dental Providers / Dentist 122300000X
Agencies / Foster Care Agency 253J00000X
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X

Profile Details

NPI number 1336505809
LBN Legal business name Integrated Health Center Corp
DBA Doing business as
Authorized official Frazier, Rodrick
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2016
Last updated Oct 5th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336505809 NPPES
Georgia MEDICAID GA

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