Organization
INTEGRATED HEALTH CARE PROVIDERS, INC.
Active
Organization
INTEGRATED HEALTH CARE PROVIDERS, INC.
Active
Other names
Cardiology Practice
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY H. GOODE PT, MBA (EXECUTIVE DIRECTOR)
(304) 388-7783
Entity
Organization
Contact information
Practice address
3100 MACCORKLE AVE SE STE 903, CHARLESTON, WV 25304-1276
(304) 388-7782
Mailing address
415 MORRIS ST STE 304, CHARLESTON, WV 25301-1853
(304) 388-7783
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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