Organization
CAMDEN ON GAULEY MEDICAL CENTER, INC
Active
Parent organization
CAMDEN ON GAULEY MEDICAL CENTER, INC
Other names
Camden Family Health, Craigsville
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAMDEN ON GAULEY MEDICAL CENTER, INC
Authorized official
MARGARET E HICKEY (CEO)
(304) 226-5725
Entity
Organization
Contact information
Practice address
100 SCHOOL ST, CRAIGSVILLE, WV 26205-8572
(304) 742-1061
(304) 742-1063
Mailing address
100 SCHOOL ST, CRAIGSVILLE, WV 26205-8572
(304) 742-1061
(304) 742-1063
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
2289-2571
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3910005736
—
WV
Enumeration date
08/13/2013
Last updated
12/10/2021
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