CAMDEN ON GAULEY MEDICAL CENTER INC (NPI# 1174065916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174065916 |
| Entity Type | Organization |
| Organization Name | CAMDEN ON GAULEY MEDICAL CENTER INC |
| Other Organization Name | CAMDEN FAMILY HEALTH |
| Practice Address |
110 Panther Creek Elementary Rd Nettie WV 26681-0000 |
| Mailing Address |
10003 Webster Rd Camden On Gauley WV 26208-7713 |
| Practice Telephone | 3042265725 |
| Practice Fax Number | 3042263274 |
| Mailing Telephone | 3042265725 |
| Mailing Fax Number | 3042263274 |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |
| Authorized Official Name | MARGARET HICKEY (CEO) |
| Authorized Official Telephone | 3042265725 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Camden Family Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493499 | Camden On Gauley Medical Center Inc | Clinic/Center | 52 Florence Street, Ansted, WV 25812 | 2020-10-06 |
| 1427585157 | Camden On Gauley Medical Center Inc | Clinic/Center | 16414 Webster Rd, Craigsville, WV 26205-8512 | 2017-05-12 |
| 1700312618 | Camden On Gauley Medical Center Inc | Clinic/Center | 190 Riverside Dr, Room 2109, Richwood, WV 26261-1251 | 2017-05-11 |
| 1861872541 | Camden On Gauley Medical Center Inc | Clinic/Center | 300 Minuteman Drive, Weston, WV 26452-1736 | 2015-06-08 |
| 1629248612 | Camden On Gauley Medical Center Inc | Clinic/Center | 1 Highlander Dr, Upperglade, WV 26266-9400 | 2008-03-05 |
| 1801935242 | Camden On Gauley Medical Center Inc | Pharmacist | 10003 Webster Rd., Camden On Gauley, WV 26208-0069 | 2007-02-05 |
| 1598749244 | Camden On Gauley Medical Center Inc | Clinic/Center | 10003 Webster Rd, Camden On Gauley, WV 26208-0069 | 2005-12-05 |
| 1508372228 | Camden On Gauley Medical Center Inc | Clinic/Center | 415 Main St, Summersville, WV 26651-1343 | 2017-12-18 |
| 1639611452 | Camden On Gauley Medical Center Inc | Clinic/Center | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2016-11-10 |
| 1215394648 | Camden On Gauley Medical Center Inc | Clinic/Center | 46 Red Oak Dr, Craigsville, WV 26205-3102 | 2016-01-15 |
| Street Address |
110 PANTHER CREEK ELEMENTARY RD |
| City | NETTIE |
| State | WV |
| Zip Code | 26681-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711348 | Lisa Marie Springstead | Technician | 24 Fox Ln, Nettie, WV 26681-4171 | 2020-08-18 |
| 1578160305 | Crystal Mae Hall | Technician | 354 Trimble Rd, Nettie, WV 26681-4655 | 2020-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160305 | Crystal Mae Hall | Technician | 354 Trimble Rd, Nettie, WV 26681-4655 | 2020-10-05 |
| 1932711348 | Lisa Marie Springstead | Technician | 24 Fox Ln, Nettie, WV 26681-4171 | 2020-08-18 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493499 | Camden On Gauley Medical Center Inc | Clinic/Center | 52 Florence Street, Ansted, WV 25812 | 2020-10-06 |
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| 1063048189 | Community Care of West Virginia, Inc. | Clinic/Center | 34 N Kanawha St, Buckhannon, WV 26201-2714 | 2020-03-20 |
| 1619503422 | Change Inc | Clinic/Center | 114 Taylor Ave, Weirton, WV 26062-4635 | 2020-03-13 |
| 1861023699 | Logan-mingo Area Mental Health, Inc | Clinic/Center | 2954 Buffalo Creek Road, Chattaroy, WV 25667 | 2020-01-30 |
| 1689220402 | New River Health Association, Inc. | Clinic/Center | 2 Greyhound Ln., Smithers, WV 25186 | 2019-08-16 |
| 1740836873 | Williamson Health & Wellness Center Inc | Clinic/Center | 5 Parkway Dr, Williamson, WV 25661-3428 | 2019-08-14 |
| 1699321729 | Williamson Health & Wellness Center Inc | Clinic/Center | 50 Panther Blvd, Williamson, WV 25661-7441 | 2019-08-14 |
| 1083260129 | Williamson Health & Wellness Center Inc | Clinic/Center | 300 Blue Devil Lane, Kermit, WV 25661 | 2019-08-14 |
| 1225684731 | Williamson Health & Wellness Center Inc | Clinic/Center | 1000 King Coal Hwy, Delbarton, WV 25670-9529 | 2019-08-12 |
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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.