INTEGRATED CARE SYSTEMS INC NPI 1255330403

NPI Information

NPI: 1255330403
Provider Name: INTEGRATED CARE SYSTEMS INC

Doing Business As: INTEGRATED CARE SYSTEMS

Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
7140 W. PERSHING CT.
VISALIA, CA
ZIP 93291
Phone: (559) 734-2896
Get Directions

INTEGRATED CARE SYSTEMS INC is a parenteral and enteral nutrition durable medical equipment medical supplies in Visalia, CA. INTEGRATED CARE SYSTEMS INC NPI is 1255330403. The provider is registered as an organization entity type.
The provider Is Doing Business As Integrated Care Systems.

The provider's business location address is:

7140 W. PERSHING CT.
VISALIA, CA
ZIP 93291
Phone: (559) 734-2896
Fax: (559) 734-6451

The provider's authorized official is Brian K Komoto .
The authorized official title is President and has the following contact phone number (559) 734-2896.

The enumeration date for this NPI number is 7/19/2005 and was last updated on 3/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	PHY47381	CALIFORNIA	No
2	251F00000X	Home Infusion		PHY47381	CALIFORNIA	No
3	3336S0011X	Pharmacy	Specialty Pharmacy	PHY47381	CALIFORNIA	No
4	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	PHY45751	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1255330403	MEDICAID	CALIFORNIA
2	PHA457510	MEDICAID	CALIFORNIA
3	PHY47381	OTHER	CALIFORNIA	PHARMACY PERMIT
4	0521496	OTHER	CALIFORNIA	NABP NUMBER
5	5857680001	MEDICARE NSC	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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