OrganizationActive
Integrated Health Care Providers, Inc.
NPI 1881031557 · Pediatric Surgery Physician · Charleston, WV
Provider details
- NPI number
- 1881031557
- Entity type
- Organization
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Goode, President(304) 388-7782
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
830 Pennsylvania Ave
Suite 305
Charleston, WV 25302-3302
Phone: (304) 388-1770
Fax: (304) 388-1775
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1320
Saint Albans, WV 25177-1320
Other names (DBA / former)
- Doing business as
- Camc Physicians Group - Pediatric Surgery
Registry dates
- Enumerated
- 2013-06-04
- Last updated
- 2013-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.