Organization
CAMDEN ON GAULEY MEDICAL CENTER INC
Active
Other names
Camden Family Health (lewis)
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET HICKEY (CEO)
(304) 226-5725
Entity
Organization
Contact information
Practice address
300 MINUTEMAN DRIVE, WESTON, WV 26452-1736
(304) 997-8701
(304) 997-8735
Mailing address
10003 WEBSTER RD, CAMDEN ON GAULEY, WV 26208-7713
(304) 226-5725
(304) 226-3274
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861872541
—
WV
Enumeration date
06/08/2015
Last updated
12/10/2021
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