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
16414 WEBSTER RD, CRAIGSVILLE, WV 26205-8512
(304) 742-3004
(304) 226-3274
Mailing address
10003 WEBSTER RD, CAMDEN ON GAULEY, WV 26208-7713
(304) 226-5725
(304) 226-3274
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639611452-001
—
WV
Enumeration date
11/10/2016
Last updated
05/08/2024
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