Emergency Medicine
ICP WEST VIRGINIA LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1134698798 · enumerated 2018-11-13 · record updated 2018-11-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: MATTHEW JACKSON, Authorized Official · (813) 746-3993
Addresses and phones
- Mailing address PO BOX 671281, DALLAS, TX, 75267-1281 (813) 746-3993 Fax (904) 265-8181 Google Maps Apple Maps OpenStreetMap
- Practice location 500 CHERRY ST, BLUEFIELD, WV, 24701-3306 (304) 327-1100 Google Maps Apple Maps OpenStreetMap
Specialties
- Emergency Medicine 207P00000X · Primary
In this directory
Locations and evidence
-
Practice location
BLUEFIELD, WV, 247013306
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.