Organization
INTEGRATED HEALTH CARE PROVIDERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF GOODE MBA (PRESIDENT)
(304) 388-7782
Entity
Organization
Contact information
Practice address
301 RHL, SUITE 3, SOUTH CHARLESTON, WV 25309-8291
(304) 388-7010
(304) 388-7015
Mailing address
415 MORRIS ST, SUITE 304, CHARLESTON, WV 25301-1842
(304) 388-7782
(304) 388-7788
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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