Provider Demographics
NPI:1619282399
Name:INTEGRATIVE HEALTH SOLUTIONS, INC
Entity Type:Organization
Organization Name:INTEGRATIVE HEALTH SOLUTIONS, INC
Other - Org Name:MERIDIAN MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC/BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCINTOSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-525-8015
Mailing Address - Street 1:2111 N NORTHGATE WAY STE 201
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-9018
Mailing Address - Country:US
Mailing Address - Phone:206-525-8015
Mailing Address - Fax:206-525-8014
Practice Address - Street 1:2111 N NORTHGATE WAY STE 201
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-9018
Practice Address - Country:US
Practice Address - Phone:206-525-8015
Practice Address - Fax:206-525-8014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-18
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00000479175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty