Provider Demographics
NPI:1467846592
Name:INTEGRATED CARE RESPONSE
Entity Type:Organization
Organization Name:INTEGRATED CARE RESPONSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EPIDEMIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:BARCELO
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:530-513-3347
Mailing Address - Street 1:PO BOX 114
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-0114
Mailing Address - Country:US
Mailing Address - Phone:530-513-3347
Mailing Address - Fax:
Practice Address - Street 1:11383 SAN JUAN ST
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-3330
Practice Address - Country:US
Practice Address - Phone:530-513-3347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-26
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty