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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