Provider Demographics
NPI:1033190210
Name:INTEGRITY CLINICAL SYSTEMS INC
Entity Type:Organization
Organization Name:INTEGRITY CLINICAL SYSTEMS INC
Other - Org Name:INTEGRITY HOME MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:B
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:505-293-1200
Mailing Address - Street 1:1510 WYOMING BLVD NE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-3866
Mailing Address - Country:US
Mailing Address - Phone:505-293-1200
Mailing Address - Fax:505-332-1268
Practice Address - Street 1:1510 WYOMING BLVD NE
Practice Address - Street 2:SUITE A
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-3866
Practice Address - Country:US
Practice Address - Phone:505-293-1200
Practice Address - Fax:505-332-1268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-07
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM00T646OtherBCBS
NMP3747Medicaid
1155750001Medicare NSC