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INTEGRATED HEALTH CONCEPTS INC. NPI 1962493700


NPI Information

NPI: 1962493700
Provider Name: INTEGRATED HEALTH CONCEPTS, INC.

Doing Business As: CONVERSIO HEALTH

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
720 AEROVISTA PL
SUITE D
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (866) 239-3784
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INTEGRATED HEALTH CONCEPTS, INC. is a pharmacy in San Luis Obispo, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. INTEGRATED HEALTH CONCEPTS, INC. NPI is 1962493700. The provider is registered as an organization entity type.
The provider Is Doing Business As Conversio Health.

The provider's business location address is:

720 AEROVISTA PL
SUITE D
SAN LUIS OBISPO, CA
ZIP 93401-726
Phone: (866) 239-3784
Fax: (800) 977-9255

The provider's authorized official is Taylor Cline .
The authorized official title is Ceo and has the following contact phone number (940) 395-6726.

The enumeration date for this NPI number is 11/1/2005 and was last updated on 9/14/2023.


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
1332B00000XDurable Medical Equipment & Medical SuppliesPHY 51610CALIFORNIANo
2333600000XPharmacyPHY46553CALIFORNIAYes

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
1510550100MEDICAIDMARYLAND
21514775MEDICAIDTENNESSEE
3482881MEDICAIDARIZONA
48870600MEDICAIDFLORIDA
51962493700MEDICAIDUTAH
626080079MEDICAIDNEW MEXICO
77100224530MEDICAIDKENTUCKY
81027478940001MEDICAIDPENNSYLVANIA
9PHA465530MEDICAIDCALIFORNIA
103011412MEDICAIDOHIO
111962493700MEDICAIDVIRGINIA
122980690MEDICAIDTEXAS

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.