Organization
INTEGRATED HEALTH CARE PROVIDERS, INC.
Active
Other names
Urology Boone Memorial
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY H. GOODE MBA (PRESIDENT)
(304) 388-7782
Entity
Organization
Contact information
Practice address
707 MADISON AVENUE, MADISON, WV 25130
(304) 369-8814
(304) 369-8813
Mailing address
415 MORRIS ST, SUITE 304, CHARLESTON, WV 25301-1842
(304) 388-7782
(304) 388-7788
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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