Provider Demographics
NPI:1457577512
Name:INTEGRITY MEDICAL SUPPLY, INC.
Entity Type:Organization
Organization Name:INTEGRITY MEDICAL SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:HUGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-679-7629
Mailing Address - Street 1:6201 LAURELWOOD DR E
Mailing Address - Street 2:
Mailing Address - City:SATSUMA
Mailing Address - State:AL
Mailing Address - Zip Code:36572-2907
Mailing Address - Country:US
Mailing Address - Phone:251-678-7629
Mailing Address - Fax:251-675-3838
Practice Address - Street 1:310D SHELTON BEACH RD
Practice Address - Street 2:
Practice Address - City:SARALAND
Practice Address - State:AL
Practice Address - Zip Code:36571-2760
Practice Address - Country:US
Practice Address - Phone:251-679-7629
Practice Address - Fax:251-675-3838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1231770001Medicare ID - Type Unspecified