CHARLESTON AREA MEDICAL CENTER


Address: 3200 Maccorkle Ave Se, Suite 906 Employee Health, Charleston, WV 25304-1227
Phone: 3043885532

CHARLESTON AREA MEDICAL CENTER (NPI# 1770790396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770790396
Entity Type Organization
Organization Name CHARLESTON AREA MEDICAL CENTER
Practice Address 3200 Maccorkle Ave Se
Suite 906 Employee Health
Charleston
WV 25304-1227
Practice Telephone 3043885532
Practice Fax Number 3043885557
Mailing Telephone 3043885532
Mailing Fax Number 3043885557
Enumeration Date 2007-05-16
Last Update Date 2012-10-29
Authorized Official Name DR. JACK L KINDER (MEDICAL DIRECTOR EMPLOYEE HEALTH)
Authorized Official Telephone 3043885520
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center 36304 WV Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1114243680 Charleston Area Medical Center General Acute Care Hospital 3103 Maccorkle Ave Se, Charleston, WV 25304-1217 2010-04-08
1518164037 Charleston Area Medical Center General Acute Care Hospital 3110 Maccorkle Avenue Se, Charleston, WV 25304 2007-06-28
1427189661 Charleston Area Medical Center General Acute Care Hospital 1694 Mount Alpha Rd, Charleston, WV 25304-2731 2007-03-08
1194740035 Charleston Area Medical Center General Acute Care Hospital 3200 Maccorkle Avenue, Se, Charleston, WV 25304 2006-07-13
1962816470 Charleston Area Medical Center General Acute Care Hospital 3110 Maccorkle Ave Se, Charleston, WV 25304-1210 2014-06-12
1821380841 Charleston Area Medical Center General Acute Care Hospital 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2011-05-10
1568765964 Charleston Area Medical Center General Acute Care Hospital 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2010-12-08
1396964185 Charleston Area Medical Center Specialist 3100 Maccorkle Ave Se, Suite 202, Charleston, WV 25304-1223 2007-04-24
1831243930 Charleston Area Medical Center Clinic/Center 800 Pennsylvania Ave, Children's Medicine Center, Charleston, WV 25302-3351 2007-01-23

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Charleston Area Medical Center Inc. 1204 Kanawha Blvd East, Charleston, West Virginia 25301
System for Award Management (SAM) Entities CHARLESTON AREA MEDICAL CENTER, INC. 501 Morris St, Charleston, WV 25301-1326

Office Location

Street Address 3200 MACCORKLE AVE SE
SUITE 906 EMPLOYEE HEALTH
City CHARLESTON
State WV
Zip Code 25304-1227

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881685550 Balakrishnan Sridharan Internal Medicine 3200 Maccorkle Ave Se, Hospitalists Program, Charleston, WV 25304-1227 2005-11-02
1982217139 Ashley Lauren Bowles Nurse Practitioner 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-08-27
1932717121 Chan Myae Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-07-14
1639792971 Victoria Morgan Bullman Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-05-21
1205459708 Samantha Withrow Nurse Practitioner 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-05-19
1013530567 Jennifer D Valdez Nurse Anesthetist, Certified Registered 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-05-19
1962025411 Rhea N Lipscomb Nurse Anesthetist, Certified Registered 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-05-19
1780207233 Bethany Noel Henson Nurse Anesthetist, Certified Registered 3200 Maccorkle Ave Se, Charleston, WV 25304-1297 2020-05-19
1598388043 Travis O Ellis Nurse Anesthetist, Certified Registered 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-05-19
1679194849 Joshua Zegeer Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-04-29
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407218332 Alliance Sound Imaging LLC Clinic/Center 1535 Hobby Street North, Charleston, SC 29405-9441 2016-03-21
1053422790 Medical University of South Carolina Clinic/Center 60 Barre St, Charleston, SC 29401-1106 2006-08-31
1083130520 Regenmd, LLC Clinic/Center 764 Saint Andrews Blvd, Charleston, SC 29407-7168 2017-08-16
1962882415 Hilton Acupuncture Ltd. Co. Clinic/Center 912 Savannah Hwy, Charleston, SC 29407-7802 2015-05-30
1699188029 Preferred Family Medical Care LLC Clinic/Center 9026 Hiwassee St Ne, Charleston, TN 37310-5305 2014-06-03
1326398470 Grant S. Mason, Dds, Inc. Clinic/Center 3906 Maccorkle Ave Se, Charleston, WV 25304-1633 2012-09-17
1346404282 Carnes Chiropractic Clinic/Center 307 40th St Se, Charleston, WV 25304-1621 2008-07-10
1740466986 K4e-sc Chiropractic, PC Clinic/Center 310 Broad St, Suite 2e, Charleston, SC 29401-1200 2008-01-17
1912180860 Medical University Hospital Authority Clinic/Center 169 Ashley Ave, Charleston, SC 29425-5836 2007-12-14
1861680761 Robert E Peyser Md Pa Clinic/Center 1637 Savannah Hwy, Charleston, SC 29407 2007-10-05
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Competitor

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City CHARLESTON
Zip Code 25304

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Dataset Information

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.

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