Organization
CAMDEN ON GAULEY MEDICAL CENTER INC
Active
Other names
Central WV Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH LYNN HAMRICK (ADMINISTRATOR)
(304) 226-5725
Entity
Organization
Contact information
Practice address
55 FRIENDS R FUN DR, SUMMERSVILLE, WV 26651-9514
(304) 226-5725
(304) 226-3274
Mailing address
PO BOX 69, CAMDEN ON GAULEY, WV 26208-0069
(304) 226-5725
(304) 226-3274
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
035737
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51D0991149
CLIA-SUMMERSVILLE
WV
Enumeration date
02/08/2007
Last updated
01/21/2009
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