Provider Demographics
NPI:1417495219
Name:INTEGRATED ORTHO SERVICES INC
Entity Type:Organization
Organization Name:INTEGRATED ORTHO SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:FALK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-455-4204
Mailing Address - Street 1:150 4TH AVE N STE 20-111
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37219-2415
Mailing Address - Country:US
Mailing Address - Phone:800-455-4204
Mailing Address - Fax:877-258-6183
Practice Address - Street 1:510 E LOOP 281 STE B159
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-5077
Practice Address - Country:US
Practice Address - Phone:800-455-4204
Practice Address - Fax:877-258-6183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-01
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies