CAMDEN ON GAULEY MEDICAL CENTER INC NPI 1801493499

NPI Information

NPI: 1801493499
Provider Name: CAMDEN ON GAULEY MEDICAL CENTER INC

Doing Business As: CAMDEN FAMILY HEALTH

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
101 FLORENCE ST
ANSTED, WV
ZIP 25812
Phone: (304) 226-5725
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CAMDEN ON GAULEY MEDICAL CENTER INC is a federally qualified health center (fqhc) clinic center in Ansted, WV. CAMDEN ON GAULEY MEDICAL CENTER INC NPI is 1801493499. The provider is registered as an organization entity type.
The provider Is Doing Business As Camden Family Health.

The provider's business location address is:

101 FLORENCE ST
ANSTED, WV
ZIP 25812-200
Phone: (304) 226-5725
Fax: (304) 226-3274

The provider's authorized official is Shanna Strader .
The authorized official title is Hr Manager/credentialing and has the following contact phone number (304) 226-5725.

The CLIA number assigned to this NPI record is 51D0017142 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/6/2020 and was last updated on 2/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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