Organization
INTEGRATED HEALTH CARE PROVIDERS, INC.
Active
Organization
INTEGRATED HEALTH CARE PROVIDERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY H. GOODE MBA, CMPE, FACHE (PRESIDENT)
(304) 388-7782
Entity
Organization
Contact information
Practice address
415 MORRIS ST, SUITE 304, CHARLESTON, WV 25301-1842
(304) 388-7782
(304) 388-7788
Mailing address
415 MORRIS ST, SUITE 304, CHARLESTON, WV 25301-1842
(304) 388-7782
(304) 388-7788
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207VE0102X
Reproductive Endocrinology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
208200000X
Plastic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010400000
—
WV
01
—
51D2006880
CLIA NUMBER
—
Enumeration date
07/19/2006
Last updated
01/08/2014
Update your record
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