MEDICARE: INTEGRATED HEALTH RESOURCES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932689353
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED HEALTH RESOURCES

Provider Business Mailing Address
First Line	:	8737 COLESVILLE RD STE 310
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3921
Country	:	US
Telephone Number	:	301-583-5191
Fax Number	:	301-850-6910

Provider Business Practice Location Address
First Line	:	8737 COLESVILLE RD STE 310
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3921
Country	:	US
Telephone Number	:	301-583-5195
Fax Number	:	202-899-4222

Authorized Official
Title or Position	:	CEO
Name	:	IVAN C WALKS
Credential	:	M.D.
Telephone Number	:	202-494-4999

Provider Enumeration Date	:	08/15/2018
Last Update Date	:	01/04/2021

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Directions to “INTEGRATED HEALTH RESOURCES ” Practice Location

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