| Integrated Health Care Providers, Inc | |
|
1001 Kennawa Dr Charleston WV 25311-1824 | |
| (304) 388-7783 | |
| Not Available |
| Full Name | Integrated Health Care Providers, Inc |
|---|---|
| Speciality | Internal Medicine - Hospice And Palliative Medicine |
| Location | 1001 Kennawa Dr, Charleston, West Virginia |
| Authorized Official Name and Position | Jeff Goode (PRESIDENT) |
| Authorized Official Contact | 3043887783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Health Care Providers, Inc 415 Morris St Ste 304 Charleston WV 25301-1853 Ph: (304) 388-7783 | Integrated Health Care Providers, Inc 1001 Kennawa Dr Charleston WV 25311-1824 Ph: (304) 388-7783 |
| NPI Number | 1760498224 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 11/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760498224 | NPI | - | NPPES |
| 3810006538 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Primary |
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