Provider Type Icon

INTEGRATED HEALTH SERVICES MANAGEMENT INC NPI 1326159401


NPI Information

NPI: 1326159401
Provider Name: INTEGRATED HEALTH SERVICES MANAGEMENT INC
Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

CLIA Number: 36D2190901

Address:
21625 CHAGRIN BLVD
SUITE 120
BEACHWOOD, OH
ZIP 44122
Phone: (216) 283-2123
Get Directions

INTEGRATED HEALTH SERVICES MANAGEMENT INC is a critical care medicine internal medicine in Beachwood, OH. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. INTEGRATED HEALTH SERVICES MANAGEMENT INC NPI is 1326159401. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21625 CHAGRIN BLVD
SUITE 120
BEACHWOOD, OH
ZIP 44122-363
Phone: (216) 283-2123
Fax: (216) 283-2126

The provider's authorized official is Mansoor Ahmed .
The authorized official title is Chief Financial Officer and has the following contact phone number (440) 239-7533.

The CLIA number assigned to this NPI record is 36D2190901 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 10/3/2016.


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
1207RC0200XInternal MedicineCritical Care Medicine35-064007OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========MAOTHEROHIOSUMMACARE
269713OTHEROHIOQUALCHOICE
3=========OTHEROHIOTRICARE
4DO9638MEDICARE PIN
5000000121632OTHEROHIOANTHEM
64316806OTHEROHIOAETNA

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.