NPI 1871600460

Integrated Health Care Providers, INC.

Organisation Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Charleston, VT

Practice location

Address: 3100 Maccorkle Avenue, SE Suite 202, Charleston, VT 25304
Phone: (304) 344-4904
Mailing address: 415 Morris St STE 304, Charleston, WV 25301-1853

Authorised official

Name: Jeff Goode
Title: Executive Director
Phone: (304) 388-7782

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X

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Registry record

NPI: 1871600460
Entity type: Organization
NPI issued: 23 Aug 2006
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.