CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION NPI 1821018177

NPI Information

NPI: 1821018177
Provider Name: CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
800 GARFIELD AVE
PARKERSBURG, WV
ZIP 26101
Phone: (304) 424-2111
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CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION is a hospice care community based in Parkersburg, WV. CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION NPI is 1821018177. The provider is registered as an organization entity type.

The provider's business location address is:

800 GARFIELD AVE
PARKERSBURG, WV
ZIP 26101-340
Phone: (304) 424-2111
Fax: (304) 424-2853

The provider's authorized official is Allen R Butcher .
The authorized official title is Vice President Of Finance and has the following contact phone number (304) 424-2202.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 7/26/2022.

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	251G00000X	Hospice Care, Community Based		102	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0001155100	MEDICAID	WEST VIRGINIA
2	00174882	OTHER		BLUE CROSS
3	1537181	OTHER		UNITED MINE WORKERS
4	700056	OTHER		BLACK LUNG
5	N180	OTHER		HEALTH PLAN
6	2034604	MEDICAID	OHIO
7	333916	OTHER		GOV'T. EMP. HOSP. ASSOC.
8	333916	OTHER		ALLIANCE/MAMSI INS.
9	0001155104	MEDICAID	WEST VIRGINIA
10	556009259	OTHER		CARELINK

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: 11/14/2023

NPI Synchronization or Removal

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