Organization
CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN R BUTCHER (VICE PRESIDENT FINANCE)
(304) 424-2202
Entity
Organization
Contact information
Practice address
800 GARFIELD AVE, PARKERSBURG, WV 26101-5340
(304) 424-2111
(304) 424-2853
Mailing address
800 GARFIELD AVE, P O BOX 718, PARKERSBURG, WV 26101-5340
(304) 424-2111
(304) 424-2853
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
102
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001155001
—
WV
01
—
000396646
BLUE CROSS
—
01
—
1537181
UNITED MINE WORKERS
—
05
—
2008866
—
OH
01
—
333916
ALLIANCE/MAMSI INS.
—
01
—
556009259
CARELINK
—
01
—
700056
BLACK LUNG
—
01
—
N180
HEALTH PLAN
—
Enumeration date
07/07/2006
Last updated
10/05/2023
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