Organization
CAMDEN ON GAULEY MEDICAL CENTER INC
Active
Organization
CAMDEN ON GAULEY MEDICAL CENTER INC
Active
Other names
Camden Family Vision
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNA STRADER (HR)
(304) 226-5725
Entity
Organization
Contact information
Practice address
651 WATER ST, SUMMERSVILLE, WV 26651-1454
(304) 872-5678
(304) 226-3274
Mailing address
10003 WEBSTER RD, CAMDEN ON GAULEY, WV 26208-7713
(304) 226-5725
(304) 226-3274
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/19/2023
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