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INTEGRATED MEDICAL GROUP P.C. NPI 1639793912


NPI Information

NPI: 1639793912
Provider Name: INTEGRATED MEDICAL GROUP, P.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 39D1031060

Address:
45 S PINE ST
ELVERSON, PA
ZIP 19520
Phone: (570) 624-4777
Get Directions

INTEGRATED MEDICAL GROUP, P.C. is a family medicine in Elverson, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. INTEGRATED MEDICAL GROUP, P.C. NPI is 1639793912. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

45 S PINE ST
ELVERSON, PA
ZIP 19520-720
Phone: (570) 624-4777
Fax: (570) 624-4778

The provider's authorized official is Kimberly Walsh .
The authorized official title is Director Of Operations and has the following contact phone number (570) 622-5455.

The CLIA number assigned to this NPI record is 39D1031060 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2020 and was last updated on 6/3/2020.


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
1207QS0010XFamily MedicineSports MedicineNo
2207Q00000XFamily MedicineYes

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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