# CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104063098
- **Authorized official:** ALLEN R BUTCHER (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (304) 424-2202

## Contact information

- **Practice address:** 800 GARFIELD AVE, PARKERSBURG, WV 26101-5340
- **Practice address phone:** (304) 424-2111
- **Mailing address:** 800 GARFIELD AVE, PARKERSBURG, WV 26101-5340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/14/2009
- **Last updated:** 01/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0001155003 | — | WV |