Facial Surgery Center I Lab

LBN: Integrated Health Care Providers, Inc.
Facial Surgery Center I Lab is an health care organization with primary practice located at 415 Morris St Ste 309 , Charleston WV 25301-1853. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Integrated Health Care Providers, Inc. can be contacted via phone (304) 388-3290, or through Goode, Jeffery H. via phone (304) 388-7783.

Contact Information

Primary practice address
415 Morris St Ste 309 Charleston WV 25301-1853
Phone: (304) 388-3290
Fax: (304) 388-3186
Website:
Map and Directions
Authorized official contact:
Name: Goode, Jeffery H. PT, MBA
Phone: (304) 388-7783

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1700080710
LBN Legal business name Integrated Health Care Providers, Inc.
DBA Doing business as Facial Surgery Center I Lab
Authorized official Goode, Jeffery H. PT, MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700080710 NPPES
West Virginia MEDICAID 6702025-003

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