Provider Demographics
NPI:1730691072
Name:INTEGRATED HEALTH MANAGEMENT SERVICES, INC
Entity type:Organization
Organization Name:INTEGRATED HEALTH MANAGEMENT SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DUSTIN
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-569-4909
Mailing Address - Street 1:PO BOX 2731
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72503-2731
Mailing Address - Country:US
Mailing Address - Phone:870-569-4909
Mailing Address - Fax:870-569-4895
Practice Address - Street 1:920 HARRISON ST STE A
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-6949
Practice Address - Country:US
Practice Address - Phone:870-569-4909
Practice Address - Fax:870-569-4895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-26
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1755111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty