Provider Demographics
NPI:1174786917
Name:INTEGRATED HEALTHCARE SERVICES
Entity type:Organization
Organization Name:INTEGRATED HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENETTE
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-832-2100
Mailing Address - Street 1:242 N JAMES ST
Mailing Address - Street 2:STE. 200
Mailing Address - City:NEWPORT
Mailing Address - State:DE
Mailing Address - Zip Code:19804-3182
Mailing Address - Country:US
Mailing Address - Phone:302-832-2100
Mailing Address - Fax:302-892-9404
Practice Address - Street 1:242 N JAMES ST
Practice Address - Street 2:STE. 200
Practice Address - City:NEWPORT
Practice Address - State:DE
Practice Address - Zip Code:19804-3182
Practice Address - Country:US
Practice Address - Phone:302-832-2100
Practice Address - Fax:302-892-9404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE492003Medicare PIN