Organization
CAMDEN ON GAULEY MEDICAL CENTER INC.
Active
Other names
Camden Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
MARGET HICKEY (CEO)
(304) 226-5725
Entity
Organization
Contact information
Practice address
71 AVENUE A, RICHWOOD, WV 26261-1204
(304) 846-2608
Mailing address
10003 WEBSTER RD, CAMDEN ON GAULEY, WV 26208-7713
(304) 742-3570
(304) 742-3572
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811420250
—
WV
Enumeration date
04/04/2017
Last updated
03/12/2025
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