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Contact Information

INTEGRATED HEALTH CARE PROVIDERS, INC.
1201 WASHINGTON ST E STE 103
CHARLESTON, WV25301-1850
 Phone: 304-720-8346
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for INTEGRATED HEALTH CARE PROVIDERS, INC.

NPI Number 1427165018
LBN Legal business name INTEGRATED HEALTH CARE PROVIDERS, INC.
Authorized official JEFF GOODE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/23/2006
Last updated 11/15/2007 - About 19 years ago
Identifiers
WV Medicaid 3810006518
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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