# INTEGRATED HEALTH CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962698381
- **Authorized official:** DR. NATHAN JEREMIAH STINEMETZ DC (PHYSICIAN)
- **Authorized official phone:** (419) 994-5222

## Contact information

- **Practice address:** 226 E BURWELL AVE, LOUDONVILLE, OH 44842-9504
- **Practice address phone:** (419) 994-5222
- **Practice address fax:** (419) 994-4443
- **Mailing address:** PO BOX 715, DANVILLE, OH 43014-0715
- **Mailing address phone:** (740) 599-7562
- **Mailing address fax:** (740) 599-6166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC3106 | OH | Yes |

## Other

- **Enumeration date:** 09/19/2007
- **Last updated:** 11/04/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000230223 | ANTHEM BC/BS OF OHIO | OH |
| 05 | — | 3103733 | — | OH |