Organization
CAMDEN ON GAULEY MEDICAL CENTER INC
Active
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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