# INTEGRATED HEALTH CARE PROVIDERS, INC.

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

## Provider details

- **NPI number:** 1124340310
- **Authorized official:** JEFF GOODE MBA (PRESIDENT)
- **Authorized official phone:** (304) 388-7782

## Contact information

- **Practice address:** 301 RHL, SUITE 3, SOUTH CHARLESTON, WV 25309-8291
- **Practice address phone:** (304) 388-7010
- **Practice address fax:** (304) 388-7015
- **Mailing address:** 415 MORRIS ST, SUITE 304, CHARLESTON, WV 25301-1842
- **Mailing address phone:** (304) 388-7782
- **Mailing address fax:** (304) 388-7788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/16/2010
- **Last updated:** 02/16/2010