OrganizationActive
Integrated Health Care Providers, Inc.
NPI 1871600460 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Charleston, VT
Provider details
- NPI number
- 1871600460
- Entity type
- Organization
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jeff Goode, Executive Director
Practice location
3100 Maccorkle Avenue, Se
Suite 202
Charleston, VT 25304
Phone: (304) 344-4904
Mailing address
415 Morris St Ste 304
Charleston, WV 25301-1853
Registry dates
- Enumerated
- 2006-08-23
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.