| Charleston Area Medical Center, Inc. | |
|
702 Professional Park Dr Ste 102 Summersville WV 26651-2033 | |
| (304) 872-0035 | |
| (304) 872-0102 |
| Full Name | Charleston Area Medical Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 702 Professional Park Dr Ste 102, Summersville, West Virginia |
| Authorized Official Name and Position | Stephen Zechariah Bell (VP FINANCE) |
| Authorized Official Contact | 3043886251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleston Area Medical Center, Inc. Po Box 1547 Charleston WV 25326-1547 Ph: (304) 388-1724 | Charleston Area Medical Center, Inc. 702 Professional Park Dr Ste 102 Summersville WV 26651-2033 Ph: (304) 872-0035 |
| NPI Number | 1518579689 |
|---|---|
| Provider Enumeration Date | 08/20/2020 |
| Last Update Date | 08/20/2020 |
| Medicare PECOS PAC ID | 3375441637 |
|---|---|
| Medicare Enrollment ID | O20201229002554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518579689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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