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Contact Information

INTEGRATED GERIATRIC CARE PLLC
2801 DUDLEY AVE
SUITE B
PARKERSBURG, WV26101-2105
 Phone: 304-428-1114
 Fax: 304-428-1135
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for INTEGRATED GERIATRIC CARE PLLC

NPI Number 1396797825
LBN Legal business name INTEGRATED GERIATRIC CARE PLLC
Authorized official LANCE MCCOY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/16/2006
Last updated 11/18/2009 - About 17 years ago
Identifiers
WV License # 19159
OH Medicaid 2809090
WV Medicaid 3810010872
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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