Provider Demographics
NPI:1053485631
Name:INTEGRATIVE HEALTH CARE, INC.
Entity Type:Organization
Organization Name:INTEGRATIVE HEALTH CARE, INC.
Other - Org Name:VALLEY HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:NASH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-667-2222
Mailing Address - Street 1:877 HICKORY LN
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-4409
Mailing Address - Country:US
Mailing Address - Phone:937-335-1275
Mailing Address - Fax:937-335-7613
Practice Address - Street 1:423 W MAIN ST
Practice Address - Street 2:
Practice Address - City:TIPP CITY
Practice Address - State:OH
Practice Address - Zip Code:45371-1820
Practice Address - Country:US
Practice Address - Phone:937-667-2222
Practice Address - Fax:937-667-5321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3406111N00000X
OH35044154207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty