CAMDEN ON GAULEY MEDICAL CENTER INC (NPI# 1871633727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871633727 |
| Entity Type | Organization |
| Organization Name | CAMDEN ON GAULEY MEDICAL CENTER INC |
| Practice Address |
10003 Webster Road Camden On Gauley WV 26208-0000 |
| 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 | 2007-02-08 |
| Last Update Date | 2009-01-21 |
| Authorized Official Name | JUDITH LYNN HAMRICK (ADMINISTRATOR) |
| Authorized Official Telephone | 3042265725 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 035736 | WV | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | MS BCBS | 001709708 | 01 |
| WV | AETNA | 5197060 | 01 |
| WV | CLIA-CAMDEN | 51D0017142 | 01 |
| WV | 0035222006 | 05 | |
| WV | RR MEDICARE | CC5506 | 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 |
| 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 |
| Street Address |
10003 WEBSTER ROAD |
| City | CAMDEN ON GAULEY |
| State | WV |
| Zip Code | 26208-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1386900140 | Elizabeth Ann Coffman | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208 | 2012-04-05 |
| 1831239946 | Anna Katherine Bobbitt | Physician Assistant | 10003 Webster Rd, Camden On Gauley, WV 26208 | 2007-02-07 |
| 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 |
| 1093900714 | Vivian Jean Carr | Physician Assistant | 10003 Webster Rd, Camden On Gauley, WV 26208-0069 | 2007-09-06 |
| 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 |
| Find all providers in zip 26208 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1831647403 | West Virginia Drug Testing Laboratories | Clinical Medical Laboratory | 108 S Walker St, Princeton, WV 24740-2745 | 2016-09-13 |
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| Find all providers with the same taxonomy | ||||
| City | CAMDEN ON GAULEY |
| Zip Code | 26208 |
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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.