Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Icp West Virginia LLC

Organization Emergency Medicine Physician · NPI 1134698798

Icp West Virginia LLC is an Emergency Medicine Physician in Bluefield, West Virginia. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

500 Cherry St
Bluefield, WV 24701-3306
Phone: (304) 327-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1134698798
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Jackson — Authorized Official · (813) 746-3993
NPI enumeratedNovember 13, 2018
Last updated in NPPESNovember 13, 2018
Mailing addressPo Box 671281, Dallas, TX 75267-1281

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