Integrated-Activhealthcare, Llc in Lilburn - Preferred Provider Organization

Integrated-Activhealthcare, Llc - NPI 1104967850

Integrated-Activhealthcare, Llc is a Preferred Provider Organization in Lilburn, Georgia. Integrated-Activhealthcare, Llc practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Integrated-Activhealthcare, Llc is 1104967850. The last update date is 2020-08-22.

Integrated-Activhealthcare, Llc's current location address is Po Box 969, Lilburn, Georgia. You can contact this provider via phone number 7704550040 and fax number 7704556188. The mailing address for Integrated-Activhealthcare, Llc is Po Box 969, Lilburn, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Integrated-Activhealthcare, Llc
Address Po Box 969, Lilburn, Georgia
Phone Number 7704550040
Fax Number 7704556188
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Brickhouse Mark
Telephone Number 7704550040

NPI Number Detail

NPI Number 1104967850
Provider Enumeration Date 2007-02-08
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 969
City Lilburn
State Georgia (GA)
Post Code 300480969
Phone Number 7704550040
Fax Number 7704556188

Provider's Primary Taxonomy Detail

Speciality Preferred Provider Organization
Taxonomy 305R00000X
Definition:
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec

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FAQs about Integrated-Activhealthcare, Llc

What is the unique identifier code issued to Integrated-Activhealthcare, Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Integrated-Activhealthcare, Llc has been assigned the NPI (National Provider Identifier) 1104967850. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Integrated-Activhealthcare, Llc's facilities are situated?

The facilities of Integrated-Activhealthcare, Llc are physically located at the following address: Po Box 969, Lilburn, GA, 300480969.

What is the area of specialization for Integrated-Activhealthcare, Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Integrated-Activhealthcare, Llc is Preferred Provider Organization, and the corresponding taxonomy code that categorizes this area of expertise is 305R00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1104967850 to Integrated-Activhealthcare, Llc?

The Centers for Medicare & Medicaid Services assigned the 1104967850 to Integrated-Activhealthcare, Llc on 2007-02-08.

As of what date were the details pertaining to Integrated-Activhealthcare, Llc last refreshed?

The information related to the Integrated-Activhealthcare, Llc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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