OrganizationActive
Integrated Health Care Providers, Inc.
NPI 1811051584 · Cardiovascular Disease Physician · Charleston, WV
Provider details
- NPI number
- 1811051584
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeff Goode, President(304) 388-7783
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3100 Maccorkle Ave Se
Suite 205
Charleston, WV 25304-1223
Phone: (304) 388-5230
Fax: (304) 388-5227
Approximate (ZIP-level) locationGet directions
Mailing address
415 Morris St Ste 304
Charleston, WV 25301-1853
Registry dates
- Enumerated
- 2006-12-20
- Last updated
- 2007-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.