Integrated Medical Group P C

LBN: Integrated Medical Group P C
Integrated Medical Group P C is an health care organization with primary practice located at 82 Tunnel Rd , Pottsville PA 17901-3869. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Laboratories / Clinical Medical Laboratory, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Integrated Medical Group P C can be contacted via phone (570) 622-5455, or through Boyer, Jennifer via phone (570) 622-5455.

Contact Information

Primary practice address
82 Tunnel Rd Pottsville PA 17901-3869
Phone: (570) 622-5455
Fax: (570) 622-5493
Website:
Map and Directions
Authorized official contact:
Name: Boyer, Jennifer
Phone: (570) 622-5455

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Laboratories / Clinical Medical Laboratory 291U00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1336102268
LBN Legal business name Integrated Medical Group P C
DBA Doing business as
Authorized official Boyer, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2006
Last updated Feb 10th, 2016 - about 8 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 1336102268 NPPES
Pennsylvania MEDICAID 100775174

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