Organization
CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION
Active
Other names
Camden Clark Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE PIERSON (CHIEF FINANCIAL OFFICER)
(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, PARKERSBURG, WV 26101-5340
(304) 424-2111
(304) 424-2853
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
102
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001155005
—
WV
01
—
001705070
BLUE CROSS
—
01
—
124467100
FEDERAL COMPENSATION
—
05
—
1252602
—
OH
01
—
13142
CARELINK MEDICAID HMO
WV
01
—
1537181
UNITED MINE WORKERS
—
01
—
333916
GOV'T EMP. HOSP. ASSOC.
—
01
—
395282
BLACK LUNG
—
01
—
57038
METROPOLITAN LIFE
—
01
—
N180
HEALTH PLAN
—
Enumeration date
06/23/2008
Last updated
10/06/2023
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