NPI 1003931429
Integrated Health Care Providers
Practice location
- Address
- 300 Hospital Dr, Spencer, WV 25276-1049
- Phone
- (304) 388-7782
- Fax
- (304) 388-7788
- Mailing address
- 415 Morris St, Charleston, WV 25301-1842
Authorised official
- Name
- Jeff Goode
- Title
- Exec Director
- Phone
- (304) 388-7782
Registered specialties
Medical Specialty Clinic/Center
Primary
Registry record
- NPI
- 1003931429
- Entity type
- Organization
- NPI issued
- 21 Mar 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.