Organization
CAMDEN ON GAULEY MEDICAL CENTER INC
Active
Organization
CAMDEN ON GAULEY MEDICAL CENTER INC
Active
Other names
Camden Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET HICKEY (CEO)
(304) 226-5725
Entity
Organization
Contact information
Practice address
415 MAIN ST, SUMMERSVILLE, WV 26651-1343
(304) 872-1663
(304) 872-8104
Mailing address
10003 WEBSTER RD, CAMDEN ON GAULEY, WV 26208-7713
(304) 872-1663
(304) 872-1663
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
05/08/2024
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