Organization
INTEGRATED HEALTH CARE PROVIDERS, INC.
Active
Other names
Cardio-Thoracic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF GOODE PT, MBA (EXECUTIVE DIRECTOR)
(304) 388-7782
Entity
Organization
Contact information
Practice address
3100 MACCORKLE AVENUE, SE, SUITE 202, CHARLESTON, VT 25304
(304) 344-4904
Mailing address
415 MORRIS ST STE 304, CHARLESTON, WV 25301-1853
(304) 388-7782
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
08/23/2006
Last updated
08/22/2020
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