Provider Demographics
NPI:1619506128
Name:INTEGRO HEALTH SYSTEMS INC
Entity Type:Organization
Organization Name:INTEGRO HEALTH SYSTEMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-457-2505
Mailing Address - Street 1:1501 E ORANGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-5130
Mailing Address - Country:US
Mailing Address - Phone:602-535-8200
Mailing Address - Fax:602-283-5246
Practice Address - Street 1:1501 E ORANGEWOOD AVE UNIT B
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-5130
Practice Address - Country:US
Practice Address - Phone:602-535-8200
Practice Address - Fax:602-457-2516
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTEGRO HEALTH SYSTEMS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital