Integrated Telehealth Llc

LBN: Integrated Telehealth Llc
Integrated Telehealth Llc is an health care organization with primary practice located at 1523 Old Valdosta Rd Ste B , Ray City GA 31645. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Integrated Telehealth Llc can be contacted via phone (877) 543-7221, or through Gibbs, Jon C via phone (706) 831-0204.

Contact Information

Primary practice address
1523 Old Valdosta Rd Ste B Ray City GA 31645
Fax: (877) 755-2212
Website:
Authorized official contact:
Name: Gibbs, Jon C Doctor of Medicine (MD)

Health care specialties

Profile Details

NPI number 1699299842
LBN Legal business name Integrated Telehealth Llc
DBA Doing business as
Authorized official Gibbs, Jon C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 31st, 2017
Last updated Aug 16th, 2018 - about 6 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 1699299842 NPPES
South Carolina MEDICAID G38493
South Carolina MEDICAID 000616624F

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