Organization
INTEGRATED HEALTH CARE PROVIDERS, INC.
Active
Other names
Critical Care
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY H. GOODE MBA (PRESIDENT)
(304) 388-7782
Entity
Organization
Contact information
Practice address
501 MORRIS ST, GENERAL ADMINISTRATION, CHARLESTON, WV 25301-1326
(304) 388-6203
(304) 388-6481
Mailing address
415 MORRIS ST, SUITE 304, CHARLESTON, WV 25301-1842
(304) 388-7782
(304) 388-7788
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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