Provider Demographics
NPI:1629256219
Name:INTEGRATED MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:INTEGRATED MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:CMA
Authorized Official - Phone:301-674-0249
Mailing Address - Street 1:7405 VARNUM ST
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-2311
Mailing Address - Country:US
Mailing Address - Phone:301-674-0249
Mailing Address - Fax:
Practice Address - Street 1:7306 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-2773
Practice Address - Country:US
Practice Address - Phone:301-674-0249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care