Organization
INTEGRATED HEALTH CARE PROVIDERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY H. GOODE MBA (PRESIDENT)
(304) 388-7784
Entity
Organization
Contact information
Practice address
830 PENNSYLVANIA AVE, SUITE 302, CHARLESTON, WV 25302-3302
(304) 388-2950
(304) 388-2951
Mailing address
415 MORRIS ST, SUITE 304, CHARLESTON, WV 25301-1842
(394) 388-7784
(304) 388-7788
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
51D1005617
WV
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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