Organization
INTEGRATED HEALTH CARE PROVIDERS, INC.
Active
Other names
Urological Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY H. GOODE MBA (PRESIDENT)
(304) 388-7782
Entity
Organization
Contact information
Practice address
11 COURTNEY DR, CHARLESTON, WV 25304-2699
(304) 925-8521
(304) 925-8523
Mailing address
415 MORRIS ST, SUITE 304, CHARLESTON, WV 25301-1842
(304) 388-7782
(304) 388-7788
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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