Provider Demographics
NPI:1467698597
Name:INTEGRITY AUTO & MOBILITY
Entity Type:Organization
Organization Name:INTEGRITY AUTO & MOBILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RANNIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-479-3147
Mailing Address - Street 1:4620 NAVARRE RD SW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44706-2337
Mailing Address - Country:US
Mailing Address - Phone:330-479-3147
Mailing Address - Fax:330-479-2677
Practice Address - Street 1:4620 NAVARRE RD SW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44706-2337
Practice Address - Country:US
Practice Address - Phone:330-479-3147
Practice Address - Fax:330-479-2677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-18
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2808377Medicaid