# CAMERON COMMUNITY HEALTH CENTER INC

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

## Provider details

- **NPI number:** 1396836367
- **Authorized official:** MR. JAY E PRAGER (CEO)
- **Authorized official phone:** (304) 843-3235

## Contact information

- **Practice address:** RD\# 4 BOX 19 WILSON DRIVE, CAMERON COMMUNITY HEALTH CENTER INC, CAMERON, WV 26033-9520
- **Practice address phone:** (304) 686-3376
- **Practice address fax:** (304) 686-3646
- **Mailing address:** RD\# 4 BOX 19 WILSON DRIVE, CAMERON, WV 26033-9520
- **Mailing address phone:** (304) 686-3376
- **Mailing address fax:** (304) 686-3646

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 08/19/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0008245000 | — | WV |
| 01 | — | 001709737 | BC/BS | WV |