Organization
CAMDEN ON GAULEY MEDICAL CENTER INC
Active
Other names
Camden Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNA STRADER (HR MANAGER/CREDENTIALING)
(304) 226-5725
Entity
Organization
Contact information
Practice address
101 FLORENCE ST, ANSTED, WV 25812-5200
(304) 226-5725
(304) 226-3274
Mailing address
10003 WEBSTER RD, CAMDEN ON GAULEY, WV 26208-7713
(304) 226-5725
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
02/25/2022
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