Integrated Care Services, Inc.

LBN: Integrated Care Services, Inc.
Integrated Care Services, Inc. is an health care organization with primary practice located at 630 Lige St , Rock Hill SC 29730-5641. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Integrated Care Services, Inc. can be contacted via phone (910) 331-9578, or through Green, Derrick Jerome via phone (910) 331-9578.

Contact Information

Primary practice address
630 Lige St Rock Hill SC 29730-5641
Phone: (910) 331-9578
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Green, Derrick Jerome BS,QP
Phone: (910) 331-9578

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1063757722
LBN Legal business name Integrated Care Services, Inc.
DBA Doing business as
Authorized official Green, Derrick Jerome BS,QP
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2012
Last updated Mar 19th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063757722 NPPES
North Carolina MEDICAID 000000

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