DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: INTEGRATED HEALTH CARE PROVIDERS, INC.

MEDICARE: INTEGRATED HEALTH CARE PROVIDERS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208200000XPlastic Surgery Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972510873
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRATED HEALTH CARE PROVIDERS, INC.
Provider Business Mailing Address
First Line : 415 MORRIS ST STE 304
Second Line :
City : CHARLESTON
State : WV
Zip : 25301-1853
Country : US
Telephone Number : 304-388-7783
Fax Number :
Provider Business Practice Location Address
First Line : 210 BROOKS ST STE 200
Second Line :
City : CHARLESTON
State : WV
Zip : 25301-1848
Country : US
Telephone Number : 304-388-1930
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JEFF GOODE
Credential : PT, MBA
Telephone Number : 304-388-7783
Provider Enumeration Date : 08/02/2006
Last Update Date : 11/15/2007

Similar Medicare Providers

1588464150 — MS. CHELSEY CHEYENNE WARD PA
Practice Location Address:
210 BROOKS ST STE 200
CHARLESTON, WV
25301-1848
Practice Phone: 304-388-1930
Practice Fax:
1447257035 — DR. WILLIAM ANDREW STEWART MD
Practice Location Address:
210 BROOKS ST STE 200
CHARLESTON, WV
25301-1848
Practice Phone: 304-388-1930
Practice Fax: 304-388-1929
1760448195 — DR. DANIEL HUNTER STEWART MD
Practice Location Address:
210 BROOKS ST STE 200
CHARLESTON, WV
25301-1848
Practice Phone: 305-388-1930
Practice Fax:
1922413889 — DR. JACK CHARLES BURNS II M.D.
Practice Location Address:
210 BROOKS ST STE 200
CHARLESTON, WV
25301-1848
Practice Phone: 304-388-1930
Practice Fax: 304-388-1929
1790264554 — MELISSA M. LEES APRN, FNP-BC
Practice Location Address:
210 BROOKS ST STE 200
CHARLESTON, WV
25301-1848
Practice Phone: 304-388-1930
Practice Fax: 304-388-1929
1871078113 — MS. LINDSAY V. STAHLMAN NP-C
Practice Location Address:
210 BROOKS ST STE 200
CHARLESTON, WV
25301-1848
Practice Phone: 304-388-1930
Practice Fax:

Directions to “INTEGRATED HEALTH CARE PROVIDERS, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.