Organization
INTEGRATED CARE INJURY CLINIC, LLC
Active
Organization
INTEGRATED CARE INJURY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE DREVAL (OWNER)
(602) 400-2800
Entity
Organization
Contact information
Practice address
11024 N 28TH DR STE 280, PHOENIX, AZ 85029-4379
(602) 285-1991
Mailing address
11024 N 28TH DR STE 280, PHOENIX, AZ 85029-4379
(602) 285-1991
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up