Integrated Intervention Specialists, Llc

LBN: Integrated Intervention Specialists, Llc
Integrated Intervention Specialists, Llc is an health care organization with primary practice located at 4725 Amber Valley Pkwy S Ste B , Fargo ND 58104-8614. The organization recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as the primary health care specialty. Integrated Intervention Specialists, Llc can be contacted via phone (701) 478-0221, or through Haman, Rachel via phone (701) 799-2045.

Contact Information

Primary practice address
4725 Amber Valley Pkwy S Ste B Fargo ND 58104-8614
Phone: (701) 478-0221
Fax: (701) 478-0222
Website:
Map and Directions
Authorized official contact:
Name: Haman, Rachel
Phone: (701) 799-2045

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1619541596
LBN Legal business name Integrated Intervention Specialists, Llc
DBA Doing business as
Authorized official Haman, Rachel
Entity Organization
Organization subpart 1 Yes
Enumeration date May 16th, 2021
Last updated May 16th, 2021 - about 3 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 1619541596 NPPES
North Dakota MEDICAID 1479549

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