Provider Demographics
NPI:1225140817
Name:INTEGRITY INC.
Entity type:Organization
Organization Name:INTEGRITY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:T
Authorized Official - Last Name:MCINTOSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-954-5510
Mailing Address - Street 1:113 SAINT FRANCOIS PLZ
Mailing Address - Street 2:
Mailing Address - City:LEADINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63601-4454
Mailing Address - Country:US
Mailing Address - Phone:573-431-5040
Mailing Address - Fax:
Practice Address - Street 1:113 SAINT FRANCOIS PLZ
Practice Address - Street 2:
Practice Address - City:LEADINGTON
Practice Address - State:MO
Practice Address - Zip Code:63601-4454
Practice Address - Country:US
Practice Address - Phone:573-431-5040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
163WD0400X
MOPS0057373336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes EducatorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO600283626Medicaid
MO2606361OtherNCPDP #
MO2606361OtherNCPDP #
MO600283626Medicaid
MO1047440001Medicare NSC