Icp West Virginia LLC
NPI 1134698798 · Emergency Medicine Physician · Bluefield, WV
Icp West Virginia LLC is a Emergency Medicine Physician organization in Bluefield, WV (NPI 1134698798).
Provider details
- NPI number
- 1134698798
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Jackson, Authorized Official(813) 746-3993
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-11-13
- Last updated
- 2018-11-13
Frequently asked questions
- What is Icp West Virginia LLC's NPI number?
- Icp West Virginia LLC's National Provider Identifier (NPI) is 1134698798, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Icp West Virginia LLC?
- Icp West Virginia LLC is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Icp West Virginia LLC located?
- Icp West Virginia LLC's practice location on file with NPPES is 500 Cherry St, Bluefield, WV 24701-3306.
- What is Icp West Virginia LLC's phone number?
- The practice phone number listed in the NPPES registry for Icp West Virginia LLC is (304) 327-1100.
- Who is the authorized official for Icp West Virginia LLC?
- The authorized official listed on Icp West Virginia LLC's NPPES record is Matthew Jackson, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Icp West Virginia LLC's NPI active?
- Yes — Icp West Virginia LLC's NPI (1134698798) is active in the NPPES registry as of the last update on 2018-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.