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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