Organization
INTEGRATED HEALTH CARE PROVIDERS, INC.
Active
Other names
Teays Valley Orthopedic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY H. GOODE MBA (PRESIDENT)
(304) 388-7782
Entity
Organization
Contact information
Practice address
1399 HOSPITAL DR, HURRICANE, WV 25526-8709
(304) 760-8158
(304) 388-3858
Mailing address
415 MORRIS ST, SUITE 304, CHARLESTON, WV 25301-1842
(304) 388-7782
(304) 388-7788
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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