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RYAN WHITE PROGRAM GRANT
NPI 1356541114
Internal Medicine - Infectious Disease in Charleston, WV

Active since July 20, 2007
3200 MACCORKLE AVE SE, OUTPATIENT CARE CLINIC, CHARLESTON, WV 25304(304) 388-8909 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ryan White Program Grant NPPES

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

RYAN WHITE PROGRAM GRANT (NPI 1356541114) is a healthcare organization registered as an infectious disease in Charleston, West Virginia and active in the NPI registry since July 2007. The organization lists Jeffrey H. Goode, President, as its authorized official.

NPPES Registry Identity

NPI1356541114
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameINTEGRATED HEALTH CARE PROVIDERS, INC.
Location Address3200 MACCORKLE AVE SE, OUTPATIENT CARE CLINICCharleston, WV 25304-1227
Mailing Address415 Morris St, Suite 304Charleston, WV 25301-1842 · (304) 388-7783 · Fax (304) 388-7788
Phone(304) 388-8909
Organization SubpartNo
Authorized OfficialJeffrey H. GoodePresident · (304) 388-7784
Enumeration DateJuly 20, 2007
Last NPPES UpdateNovember 15, 2007
✔ NPI 1356541114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
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.
3200 MACCORKLE AVE SE, Charleston, WV 25304
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Other Names 1

Other NameRyan White Program Grant

Other Identifiers 2

Medicaid3810009608WV
Medicare PININ9286133

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

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.

CAMERON DUBA DO
Emergency Medicine
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-4172
WILLIAM JARRETT WISEMAN BSN, RN, CCRN-CMC
Registered Nurse
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 993-1088
MS. BRENDA LOU KEEFER ANP
Nurse Practitioner (Family)
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 925-3436
LOUISE NAYLOR
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARSTON, WV 25304
Kanawha County (304) 388-4077
DR. JEFFREY V ASHLEY M.D.
Family Medicine
3200 MACCORKLE AVE SE, FIFTH FLOOR
CHARLESTON, WV 25304
Kanawha County (304) 388-4600
TIFFANY D. DUTTON CRNA
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE, DEPT. OF SURGERY
CHARLESTON, WV 25304
Kanawha County (304) 388-5503
JENNIFER D VALDEZ
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-5432
CHRISTOPHER S MULLINS
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 688-0228

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 Integrated Health Care Providers, Inc.'s NPI number?

The NPI number for Integrated Health Care Providers, Inc. is 1356541114. It was assigned to this organization in the NPPES registry on July 20, 2007. The provider is also known as Ryan White Program Grant.

Where is Integrated Health Care Providers, Inc. located?

Integrated Health Care Providers, Inc. is located at 3200 Maccorkle Ave SE Outpatient Care Clinic, Charleston, WV 25304. The listed phone number is (304) 388-8909.

What is Integrated Health Care Providers, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

When was this NPI record last updated?

The NPPES record for Integrated Health Care Providers, Inc. was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.