CHARLESTON AREA MEDICAL CENTER, INC. (NPI# 1053693697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053693697 |
| Entity Type | Organization |
| Organization Name | CHARLESTON AREA MEDICAL CENTER, INC. |
| Other Organization Name | CAMC CARDIAC IMAGING CENTER |
| Practice Address |
3100 Maccorkle Ave Se Ste 808 Charleston WV 25304-1233 |
| Practice Telephone | 3043882320 |
| Practice Fax Number | 3043882310 |
| Mailing Telephone | 3043882320 |
| Mailing Fax Number | 3043882310 |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2020-01-27 |
| Authorized Official Name | STEPHEN ZECHARIAH BELL (VICE PRESIDENT FINANCE) |
| Authorized Official Telephone | 3043886251 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHARLESTON AREA MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
20 | WV | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CAMC Cardiac Imaging Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518579689 | Charleston Area Medical Center, Inc. | Clinic/Center | 702 Professional Park Dr Ste 102, Summersville, WV 26651-2033 | 2020-08-20 |
| 1245544527 | Charleston Area Medical Center, Inc. | Radiologic Technologist | 60 Rhl, South Charleston, WV 25309-8278 | 2010-07-29 |
| 1972125995 | Charleston Area Medical Center, Inc. | Emergency Medicine | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2020-05-13 |
| 1134518186 | Charleston Area Medical Center, Inc. | Pharmacy | 3415 Maccorkle Ave Se, Charleston, WV 25304-1334 | 2015-01-14 |
| 1134517394 | Charleston Area Medical Center, Inc. | General Acute Care Hospital | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2014-12-22 |
| 1912247750 | Charleston Area Medical Center, Inc. | Pharmacy | 501 Morris St, Charleston, WV 25301-1326 | 2013-02-14 |
| 1033482443 | Charleston Area Medical Center, Inc. | Clinic/Center | 3100 Maccorkle Ave Se Ste 808, Charleston, WV 25304-1233 | 2012-02-15 |
| 1316101819 | Charleston Area Medical Center, Inc. | General Acute Care Hospital | 3100 Maccorkle Ave Se, Suite 101, Charleston, WV 25304-1223 | 2008-07-14 |
| 1427270586 | Charleston Area Medical Center, Inc. | General Acute Care Hospital | 501 Morris St, Charleston, WV 25301-1326 | 2007-05-02 |
| 1336361492 | Charleston Area Medical Center, Inc. | General Acute Care Hospital | 501 Morris St, Charleston, WV 25301-1326 | 2007-05-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHARLESTON AREA MEDICAL CENTER, INC. | 501 Morris St, Charleston, WV 25301-1326 |
| Street Address |
3100 MACCORKLE AVE SE STE 808 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25304-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033482443 | Charleston Area Medical Center, Inc. | Clinic/Center | 3100 Maccorkle Ave Se Ste 808, Charleston, WV 25304-1233 | 2012-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893908 | Sade Yvonne Rice | Technician | 392 B South Parkd Rd, Charleston, WV 25304 | 2020-08-27 |
| 1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
| 1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
| 1447811872 | Kwasi Amponsah Gambrah | Student in an Organized Health Care Education/Training Program | 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 | 2019-06-26 |
| 1457916751 | Divya Kalluru | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 | 2019-05-02 |
| 1841854965 | Sean Michael Percy Losier | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 | 2019-04-24 |
| 1700440047 | Priyanka Chowdhry | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 | 2019-04-23 |
| 1568925469 | Saranya Dinesan | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 | 2019-04-09 |
| 1043771694 | Mary Elizabeth Novak | Student in an Organized Health Care Education/Training Program | Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 | 2019-03-27 |
| 1124518600 | Abdullah Sohail | Student in an Organized Health Care Education/Training Program | 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 | 2018-05-10 |
| Find all providers in zip 25304 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871734558 | Medical Sonoimaging, LLC | Clinic/Center | 250 Eureka Rd, Charleston, WV 25314-2126 | 2009-03-10 |
| 1497365019 | Injury In Motion, LLC | Clinic/Center | 714 Saint Andrews Blvd, Charleston, SC 29407-7141 | 2020-08-07 |
| 1033482443 | Charleston Area Medical Center, Inc. | Clinic/Center | 3100 Maccorkle Ave Se Ste 808, Charleston, WV 25304-1233 | 2012-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255777595 | Gilbert Ultrasound Services LLC | Clinic/Center | 202 Larry Joe Harless Drive, Suite 207, Gilbert, WV 25621 | 2013-05-14 |
| 1659647931 | P and P Health Services, Inc | Clinic/Center | Rr 4 Box 19, Cameron, WV 26033-9520 | 2012-03-30 |
| 1831491042 | Mva X-ray Fairmont Clinic | Clinic/Center | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2010-11-19 |
| 1730332560 | P and P Health Services, Inc | Clinic/Center | 1612 Wheeling Ave, Glen Dale, WV 26038-1734 | 2008-10-24 |
| 1134222193 | Mva X-ray Fairmont Clinic | Clinic/Center | 1322 Locust Ave, Fairmont, WV 26554 | 2006-09-06 |
| City | CHARLESTON |
| Zip Code | 25304 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.