Organization
INTEGRETED COMPREHENSIVE HEALTH CARE
Active
Parent organization
ICHC,LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ICHC,LLC
Authorized official
MR. SHANNON DEJAUN JACKSON (CASE MANGER)
(405) 830-1094
Entity
Organization
Contact information
Practice address
4801 N CLASSEN BLVD # 73118, OKLAHOMA CITY, OK 73118-4627
(405) 843-7300
(405) 843-1306
Mailing address
4801 N CLASSEN BLVD # 73118, OKLAHOMA CITY, OK 73118-4627
(405) 843-7300
(405) 843-1306
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SHIZZ10
—
OK
Enumeration date
04/25/2012
Last updated
04/25/2012
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