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INTEGRATED HEALTH CARE PROVIDERS INC. NPI 1356541114


NPI Information

NPI: 1356541114
Provider Name: INTEGRATED HEALTH CARE PROVIDERS, INC.

Other Name: RYAN WHITE PROGRAM GRANT

Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

Address:
3200 MACCORKLE AVE SE
OUTPATIENT CARE CLINIC
CHARLESTON, WV
ZIP 25304
Phone: (304) 388-8909
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INTEGRATED HEALTH CARE PROVIDERS, INC. is an infectious disease internal medicine in Charleston, WV. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. INTEGRATED HEALTH CARE PROVIDERS, INC. NPI is 1356541114. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Ryan White Program Grant.

The provider's business location address is:

3200 MACCORKLE AVE SE
OUTPATIENT CARE CLINIC
CHARLESTON, WV
ZIP 25304-227
Phone: (304) 388-8909

The provider's authorized official is Jeffrey H. Goode .
The authorized official title is President and has the following contact phone number (304) 388-7784.

The enumeration date for this NPI number is 7/20/2007 and was last updated on 11/15/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0200XInternal MedicineInfectious DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13810009608MEDICAIDWEST VIRGINIA
2IN9286133MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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