Provider Demographics
NPI:1942250634
Name:INTEGRATED HEALTH SOLUTIONS PC
Entity type:Organization
Organization Name:INTEGRATED HEALTH SOLUTIONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-252-9053
Mailing Address - Street 1:244 COBBLESTONE LN
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-8912
Mailing Address - Country:US
Mailing Address - Phone:610-252-9053
Mailing Address - Fax:610-252-9021
Practice Address - Street 1:50 S 18TH ST UNIT 2
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-3912
Practice Address - Country:US
Practice Address - Phone:610-252-9053
Practice Address - Fax:610-252-9021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD416989207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1376739OtherHIGHMARK BLUE SHIED
PADD1319OtherMEDICARE RAILROAD
PA50003707OtherCAPITAL BLUE CROSS
PA817653OtherFIRST PRIORITY
PA007758969003Medicaid
PA2074619000OtherKEYSTONE EAST
PAP2749181OtherOXFORD HEALTH PLAN
PA5996219OtherGHI
PA3069323OtherAETNA UNITED
PA67587OtherGEISINGER
PA20025802OtherAMERIHEALTH MERCY
PA2074619000OtherINDEPENDENCE BLUE CROSS
PA3069323OtherAETNA UNITED
PA=========OtherCIGNA
PA=========OtherFIRST HEALTH
PA20025802OtherAMERIHEALTH MERCY
PA50003707OtherCAPITAL BLUE CROSS
PA=========OtherVALLEY PREFERRED
PA=========OtherFIRST HEALTH
PA20025802OtherAMERIHEALTH MERCY
PA50003707OtherCAPITAL BLUE CROSS