General And Vascular Surgery Center

LBN: Integrated Health Care Providers, Inc.
General And Vascular Surgery Center is an health care organization with primary practice located at 3100 Maccorkle Ave Se Ste 602 , Charleston WV 25304-1231. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Integrated Health Care Providers, Inc. can be contacted via phone (304) 388-5120, or through Goode, Jeff via phone (304) 388-7783.

Contact Information

Primary practice address
3100 Maccorkle Ave Se Ste 602 Charleston WV 25304-1231
Phone: (304) 388-5120
Fax: (304) 388-5119
Website:
Map and Directions
Authorized official contact:
Name: Goode, Jeff PT, MBA
Phone: (304) 388-7783

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1235147091
LBN Legal business name Integrated Health Care Providers, Inc.
DBA Doing business as General And Vascular Surgery Center
Authorized official Goode, Jeff PT, MBA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated Nov 15th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235147091 NPPES
West Virginia MEDICAID 3810006526

Popular Providers