CAMDEN ON GAULEY MEDICAL CENTER INC (NPI# 1598749244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598749244 |
| Entity Type | Organization |
| Organization Name | CAMDEN ON GAULEY MEDICAL CENTER INC |
| Practice Address |
10003 Webster Rd Camden On Gauley WV 26208-0069 |
| Mailing Address |
Po Box 69 Camden On Gauley WV 26208-0069 |
| Practice Telephone | 3042265725 |
| Practice Fax Number | 3042263274 |
| Mailing Telephone | 3042265725 |
| Mailing Fax Number | 3042263274 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2012-02-06 |
| Authorized Official Name | MARGARET E GROVES (ADMINISTRATOR) |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | MS BCBS | 001709708 | 01 |
| WV | MS BCBS | 001764303 | 01 |
| WV | AETNA | 5197060 | 01 |
| WV | 0035222000 | 05 | |
| WV | RR MEDICARE | CC5506 | 01 |
| WV | CLIA-CAMDEN | 51D0017142 | 01 |
| 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 |
| 1174065916 | Camden On Gauley Medical Center Inc | Clinic/Center | 110 Panther Creek Elementary Rd, Nettie, WV 26681-0000 | 2016-11-10 |
| 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 |
| 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 |
10003 WEBSTER RD |
| City | CAMDEN ON GAULEY |
| State | WV |
| Zip Code | 26208-0069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242600 | Tricia Dawn Simpkin | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2020-10-09 |
| 1861049686 | Seth Nathaniel Hamrick | Dentist | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2019-08-26 |
| 1932752078 | Holly Fitzwater | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2019-07-18 |
| 1477010932 | Katherine Samples | Social Worker | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2019-02-20 |
| 1285128272 | Daonna Autumn Fox | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2018-06-21 |
| 1184147522 | Anna Marie Philpott | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2017-07-18 |
| 1891236873 | Misty James | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2017-03-10 |
| 1184169666 | Shawna Cogar | Social Worker | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2016-12-20 |
| 1639611452 | Camden On Gauley Medical Center Inc | Clinic/Center | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2016-11-10 |
| 1922468529 | Jennifer Truman | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2016-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083715528 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 18116 Webster Road, Craigsville, WV 26208 | 2006-09-26 |
| 1871633727 | Camden On Gauley Medical Center Inc | Clinical Medical Laboratory | 10003 Webster Road, Camden On Gauley, WV 26208-0000 | 2007-02-08 |
| 1801935242 | Camden On Gauley Medical Center Inc | Pharmacist | 10003 Webster Rd., Camden On Gauley, WV 26208-0069 | 2007-02-05 |
| 1134184211 | Kimberly J Angus | Nurse Practitioner | 10003 Webster Road, Camden On Gauley, WV 26208-0069 | 2006-04-20 |
| 1003089905 | Milissa K Short | Nurse Practitioner | 10003 Webster Road, Camden On Gauley, WV 26208-0069 | 2008-04-11 |
| 1376712893 | Crystal Rose Taylor | Nurse Practitioner | 10003 Webster Road, Camden On Gauley, WV 26208-0069 | 2008-02-28 |
| 1568661064 | Crystal Marie Hickman Rodebaugh | Family Medicine | 10003 Webster Road, Camden-on-gauley, WV 26208-3702 | 2007-07-13 |
| 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 |
| 1194339309 | Community Care of West Virginia, Inc. | Clinic/Center | 33 E Victoria St, Buckhannon, WV 26201-2671 | 2020-09-04 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CAMDEN ON GAULEY |
| Zip Code | 26208 |
Please comment or provide details below to improve the information on CAMDEN ON GAULEY MEDICAL CENTER INC.
| 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.