Organization
CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION
Active
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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