Organization
CAMDEN ON GAULEY MEDICAL CENTER INC
Active
Other names
Camden Family Health
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) 226-5725
Mailing address
10003 WEBSTER RD, CAMDEN ON GAULEY, WV 26208-7713
(304) 226-5725
(304) 226-3274
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508372228
—
WV
Enumeration date
12/18/2017
Last updated
12/10/2021
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