Provider Demographics
NPI:1215569207
Name:INTERNAL HEALTH AND MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:INTERNAL HEALTH AND MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING/CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:KEVA
Authorized Official - Middle Name:M
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-219-9903
Mailing Address - Street 1:1176 VICKERY LN STE 220
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-0631
Mailing Address - Country:US
Mailing Address - Phone:901-901-2496
Mailing Address - Fax:901-421-5174
Practice Address - Street 1:1176 VICKERY LN STE 220
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-0631
Practice Address - Country:US
Practice Address - Phone:901-421-5174
Practice Address - Fax:901-249-6179
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IHMS HEALTHCARE INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-07
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ055459Medicaid
AR271886762Medicaid