OrganizationActive
Integrated Health Care Providers, Inc.
NPI 1861400756 · Oral & Maxillofacial Surgery (D.M.D.) · Charleston, WV
Provider details
- NPI number
- 1861400756
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeff Goode, President(304) 388-7783
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
415 Morris St Ste 309
Charleston, WV 25301-1853
Phone: (304) 388-3290
Fax: (304) 388-3186
Approximate (ZIP-level) locationGet directions
Mailing address
415 Morris St Ste 304
Charleston, WV 25301-1853
Other names (DBA / former)
- Doing business as
- Facial Surgery Center I
Registry dates
- Enumerated
- 2006-08-04
- 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.