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INTEGRA HEALTHCARE ASSOCIATES NPI 1134723919


NPI Information

NPI: 1134723919
Provider Name: INTEGRA HEALTHCARE ASSOCIATES
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 18D2260657

Address:
4071 TATES CREEK CENTRE DR STE 101
LEXINGTON, KY
ZIP 40517
Phone: (859) 396-3050
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INTEGRA HEALTHCARE ASSOCIATES is an urgent care clinic center in Lexington, KY. INTEGRA HEALTHCARE ASSOCIATES NPI is 1134723919. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4071 TATES CREEK CENTRE DR STE 101
LEXINGTON, KY
ZIP 40517-063
Phone: (859) 396-3050

The provider's authorized official is Alicia O Gatterdam .
The authorized official title is Member and has the following contact phone number (240) 271-8962.

The CLIA number assigned to this NPI record is 18D2260657 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/23/2020 and was last updated on 1/31/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2363AM0700XPhysician AssistantMedicalNo
3261QU0200XClinic/CenterUrgent CareYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.