Provider Demographics
NPI:1417911801
Name:RAMSEY INTEGRATED HEALTH SERVICES
Entity Type:Organization
Organization Name:RAMSEY INTEGRATED HEALTH SERVICES
Other - Org Name:INTEGRATED HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:LOU
Authorized Official - Last Name:IRVINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-883-6977
Mailing Address - Street 1:475 ETNA STREET
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55106-5845
Mailing Address - Country:US
Mailing Address - Phone:651-776-2112
Mailing Address - Fax:651-776-2029
Practice Address - Street 1:475 ETNA STREET
Practice Address - Street 2:SUITE 3
Practice Address - City:ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55106-5845
Practice Address - Country:US
Practice Address - Phone:651-776-2112
Practice Address - Fax:651-776-2029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN330940251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
247177Medicare ID - Type Unspecified