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ICP WEST VIRGINIA LLC
NPI 1134698798
Emergency Medicine in Bluefield, WV

Active since November 13, 2018
500 CHERRY ST, BLUEFIELD, WV 24701(304) 327-1100 Get Directions Write a Review

NPPES record last updated: November 13, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Icp West Virginia Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ICP WEST VIRGINIA LLC (NPI 1134698798) is a healthcare organization registered as an emergency medicine in Bluefield, West Virginia and active in the NPI registry since November 2018. The organization lists Matthew Jackson, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1134698798
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameICP WEST VIRGINIA LLC
Location Address500 CHERRY STBluefield, WV 24701-3306
Mailing AddressPo Box 671281Dallas, TX 75267-1281 · (813) 746-3993 · Fax (904) 265-8181
Phone(304) 327-1100
Organization SubpartNo
Authorized OfficialMatthew JacksonAuthorized Official · (813) 746-3993
Enumeration DateNovember 13, 2018
✔ NPI 1134698798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
500 CHERRY ST, Bluefield, WV 24701
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ISLAND MEDICAL BLUEFIELD LLC
Emergency Medicine
500 CHERRY ST
BLUEFIELD, WV 24701
Mercer County (304) 327-1771
ENGELBERT TITO RANADA D.O.
Internal Medicine
500 CHERRY ST
BLUEFIELD, WV 24701
Mercer County (304) 327-1666
BLUEFIELD EMERGENCY PHYSICIANS INC
Emergency Medicine
500 CHERRY ST
BLUEFIELD, WV 24701
Mercer County (304) 327-1100
WV EMERGENCY PHYSICIAN PARTNERS, PLLC
Hospitalist
500 CHERRY ST
BLUEFIELD, WV 24701
Mercer County (304) 327-1100
STEPHANIE L MORRISON CRNA
Nurse Anesthetist, Certified Registered
500 CHERRY ST
BLUEFIELD, WV 24701
Mercer County (304) 327-2601
BLUEFIELD PATHOLOGY ASSOCIATES INC
Pathology (Anatomic Pathology & Clinical Pathology)
500 CHERRY ST
BLUEFIELD, WV 24701
Mercer County (304) 327-1586
DR. STEPHEN PATRICK POOLOS MD
Pathology (Anatomic Pathology & Clinical Pathology)
500 CHERRY ST
BLUEFIELD, WV 24701
Mercer County (304) 327-1580
BLUERAD PLLC
Radiology (Diagnostic Radiology)
500 CHERRY ST
BLUEFIELD, WV 24701
Mercer County (304) 327-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Icp West Virginia LLC's NPI number?

The NPI number for Icp West Virginia LLC is 1134698798. It was assigned to this organization in the NPPES registry on November 13, 2018.

Where is Icp West Virginia LLC located?

Icp West Virginia LLC is located at 500 Cherry St, Bluefield, WV 24701. The listed phone number is (304) 327-1100.

What is Icp West Virginia LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

What insurance does Icp West Virginia LLC accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Icp West Virginia LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Icp West Virginia LLC was last updated on November 13, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.