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Organization
INTEGRATED HEALTH CARE PROVIDERS, INC.
Active
Organization
INTEGRATED HEALTH CARE PROVIDERS, INC.
Active
Other names
Urology Renal Transplant
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF H. GOODE MBA (PRESIDENT)
(304) 388-7782
Entity
Organization
Contact information
Practice address
501 MORRIS ST, 5 WEST, CHARLESTON, WV 25301-1326
(304) 388-7823
(304) 388-7820
Mailing address
415 MORRIS ST, SUITE 304, CHARLESTON, WV 25301-1842
(304) 388-7782
(304) 388-7788
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
—
NULL
204F00000X
Transplant Surgery Physician
—
—
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
11/09/2010
Last updated
08/27/2013
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