| Integrity Health Services Llc | |
|
3455 Wilkens Ave Ste 106 Baltimore MD 21229-5213 | |
| (410) 525-0475 | |
| Not Available |
| Full Name | Integrity Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3455 Wilkens Ave Ste 106, Baltimore, Maryland |
| Authorized Official Name and Position | Tracey Bennett (CEO) |
| Authorized Official Contact | 4432265281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity Health Services Llc 3455 Wilkens Ave Ste 106 Baltimore MD 21229-5213 Ph: (410) 525-0475 | Integrity Health Services Llc 3455 Wilkens Ave Ste 106 Baltimore MD 21229-5213 Ph: (410) 525-0475 |
| NPI Number | 1265999866 |
|---|---|
| Provider Enumeration Date | 03/01/2019 |
| Last Update Date | 06/08/2021 |
| Certification Date | 06/08/2021 |
| Medicare PECOS PAC ID | 7517399769 |
|---|---|
| Medicare Enrollment ID | O20191111000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265999866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Tridonna D Brandford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316377377 PECOS PAC ID: 4284621251 Enrollment ID: I20140512000628 |
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