| Charleston Area Medical Center | |
|
3200 Maccorkle Ave Se Suite 906 Employee Health Charleston WV 25304-1227 | |
| (304) 388-5532 | |
| (304) 388-5557 |
| Full Name | Charleston Area Medical Center |
|---|---|
| Speciality | Clinic/center |
| Location | 3200 Maccorkle Ave Se, Charleston, West Virginia |
| Authorized Official Name and Position | Jack L Kinder (MEDICAL DIRECTOR EMPLOYEE HEALTH) |
| Authorized Official Contact | 3043885520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleston Area Medical Center 3200 Maccorkle Ave Se Suite 906 Employee Health Charleston WV 25304-1227 Ph: (304) 388-5532 | Charleston Area Medical Center 3200 Maccorkle Ave Se Suite 906 Employee Health Charleston WV 25304-1227 Ph: (304) 388-5532 |
| NPI Number | 1770790396 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 10/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770790396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 36304 (West Virginia) | Primary |
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