| Camden On Gauley Medical Center Inc | |
|
10003 Webster Rd Camden On Gauley WV 26208-0069 | |
| (304) 226-5725 | |
| (304) 226-3274 |
| Full Name | Camden On Gauley Medical Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10003 Webster Rd, Camden On Gauley, West Virginia |
| Authorized Official Name and Position | Margaret E Groves (ADMINISTRATOR) |
| Authorized Official Contact | 3042265725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Camden On Gauley Medical Center Inc Po Box 69 Camden On Gauley WV 26208-0069 Ph: (304) 226-5725 | Camden On Gauley Medical Center Inc 10003 Webster Rd Camden On Gauley WV 26208-0069 Ph: (304) 226-5725 |
| NPI Number | 1598749244 |
|---|---|
| Provider Enumeration Date | 12/05/2005 |
| Last Update Date | 12/10/2021 |
| Medicare PECOS PAC ID | 6002867850 |
|---|---|
| Medicare Enrollment ID | O20101104001548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598749244 | NPI | - | NPPES |
| 001709708 | Other | WV | MS BCBS |
| 0035222000 | Medicaid | WV | |
| 5197060 | Other | WV | AETNA |
| 001764303 | Other | WV | MS BCBS |
| CC5506 | Other | WV | RR MEDICARE |
| 51D0017142 | Other | WV | CLIA-CAMDEN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |