Icey Goodrich

ActiveIndividual ProviderCommunity Health Worker
NPI issued: January 3, 2021

Quick Facts

NPI Number
1720676059
TypeIndividual
StatusActive
SpecialtyCommunity Health Worker
Taxonomy172V00000X — Community Health Worker
Phone
(304) 366-8779
StateWV

NPI Validation Status: Verified

Valid 10-digit NPI number (1720676059)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (January 3, 2021)
Data source: CMS NPPES

Provider Overview

ICEY GOODRICH is a Community Health Worker provider based in Fairmont, WV who has been registered with CMS since 2021. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1720676059
Provider TypeIndividual Provider
GenderFemale
StatusActive
Enumeration DateJanuary 3, 2021

Practice Location

CityFairmont
StateWV
ZIP Code26554-2147
Phone(304) 366-8779

Specialties & Licenses

★ Primary
SpecialtyCommunity Health Worker
Taxonomy Code172V00000X
License StateWV

Mailing Address

CityFairmont
StateWV
ZIP Code26554-2147
Phone(304) 366-8779
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1720676059 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1720676059for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1720676059 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Community Health Worker

Specialists in Community Health Worker provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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49,452
Community Health Worker Providers in the US

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People Also Ask

What is Icey Goodrich's NPI number?
Icey Goodrich's NPI number is 1720676059, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Icey Goodrich's NPI currently active?
Yes, Icey Goodrich's NPI status is Active as of the latest CMS NPPES database updates.
What does Icey Goodrich specialize in?
Icey Goodrich specializes in Community Health Worker. The healthcare taxonomy code associated with this specialty is 172V00000X.
Where does Icey Goodrich practice?
Icey Goodrich practices in Fairmont, WV 26554-2147.
When was Icey Goodrich's NPI issued?
Icey Goodrich's NPI was issued on January 3, 2021.
What is Icey Goodrich's provider type?
Icey Goodrich is registered as an Individual Provider under CMS NPI Type 1.