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Contact Information

INTEGRATIVE MEDICINE CONSULTANTS, INC.
507 MAIN AVENUE
CLEAR LAKE, IA50428
 Phone: 641-357-4325
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for INTEGRATIVE MEDICINE CONSULTANTS, INC.

NPI # 1679707947
LBN Legal business name INTEGRATIVE MEDICINE CONSULTANTS, INC.
Authorized official MARY WINEGARDNER - (PRESIDENT/PROVIDER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/14/2009
Last updated 06/22/2009 - About 17 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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