Organization
INTEGRATED HEALTH CARE PROVIDERS, INC.
Active
Other names
Cardiology Memorial
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY H. GOODE MBA (PRESIDENT)
(304) 388-7782
Entity
Organization
Contact information
Practice address
2930 CHESTERFIELD AVE, CHARLESTON, WV 25304-1125
(304) 343-9923
(304) 343-9925
Mailing address
415 MORRIS ST, SUITE 304, CHARLESTON, WV 25301-1842
(304) 388-7782
(304) 388-7788
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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