Organization
CAMERON COMMUNITY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY E PRAGER (CEO)
(304) 843-3235
Entity
Organization
Contact information
Practice address
RD# 4 BOX 19 WILSON DRIVE, CAMERON COMMUNITY HEALTH CENTER INC, CAMERON, WV 26033-9520
(304) 686-3376
(304) 686-3646
Mailing address
RD# 4 BOX 19 WILSON DRIVE, CAMERON, WV 26033-9520
(304) 686-3376
(304) 686-3646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008245000
—
WV
01
—
001709737
BC/BS
WV
Enumeration date
09/27/2006
Last updated
08/19/2013
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