Provider Demographics
NPI:1184777526
Name:INTEGRATED HEALTH CARE MINISTRIES LLC
Entity type:Organization
Organization Name:INTEGRATED HEALTH CARE MINISTRIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:H
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:541-482-7007
Mailing Address - Street 1:565 A ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-2063
Mailing Address - Country:US
Mailing Address - Phone:541-482-7007
Mailing Address - Fax:541-482-5123
Practice Address - Street 1:565 A ST
Practice Address - Street 2:SUITE 100
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-2063
Practice Address - Country:US
Practice Address - Phone:541-482-7007
Practice Address - Fax:541-482-5123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NONE261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR131311Medicare ID - Type Unspecified