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Organization
CHARLESTON AREA MEDICAL CENTER INC
Active
Organization
CHARLESTON AREA MEDICAL CENTER INC
Active
Other names
Vandalia Health Primary Care, CAMC PMC Primary Care Fayetteville
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER PETERS (PAYER ENROLLMENT REPRESENTATIVE)
(304) 388-0112
Entity
Organization
Contact information
Practice address
207 W MAPLE AVE, FAYETTEVILLE, WV 25840-1413
(304) 574-0120
Mailing address
207 W MAPLE AVE, FAYETTEVILLE, WV 25840-1413
(304) 574-0120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
03/06/2026
Last updated
09/11/2026
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