Provider Demographics
NPI:1619399763
Name:INTEGRITY ATS, INC.
Entity Type:Organization
Organization Name:INTEGRITY ATS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATRINKA
Authorized Official - Middle Name:SHERRON
Authorized Official - Last Name:IVIE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:316-806-5622
Mailing Address - Street 1:119 S BALTIMORE AVE
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:KS
Mailing Address - Zip Code:67037-1403
Mailing Address - Country:US
Mailing Address - Phone:316-806-5622
Mailing Address - Fax:
Practice Address - Street 1:119 S BALTIMORE AVE
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:KS
Practice Address - Zip Code:67037-1403
Practice Address - Country:US
Practice Address - Phone:316-806-5622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-09
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health