Healthcare Provider Details

I. General information

NPI: 1679336739
Provider Name (Legal Business Name): INTEGRITY NEMT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2024
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9310 SE ADAMS ST
WAKARUSA KS
66546-9735
US

IV. Provider business mailing address

9310 SE ADAMS ST
WAKARUSA KS
66546-9735
US

V. Phone/Fax

Practice location:
  • Phone: 785-408-2485
  • Fax:
Mailing address:
  • Phone: 785-408-2485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: JANICE KAY MADILL
Title or Position: OWNER
Credential:
Phone: 785-845-9704