Organization
INTEGRATED HEALTH CARE PROVIDERS, INC.
Active
Other names
HealthPlus Urgent Care, St. Albans
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF GOODE PT, MBA (PRESIDENT)
30438877823
Entity
Organization
Contact information
Practice address
12 KANAWHA TER, SAINT ALBANS, WV 25177-2750
(304) 727-7711
Mailing address
415 MORRIS ST STE 304, CHARLESTON, WV 25301-1853
(304) 388-7783
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810006527
—
WV
Enumeration date
08/01/2006
Last updated
11/15/2007
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