| Camden On Gauley Medical Center Inc | |
|
16414 Webster Rd Craigsville WV 26205-8512 | |
| (304) 742-3004 | |
| (304) 226-3274 |
| Full Name | Camden On Gauley Medical Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 16414 Webster Rd, Craigsville, West Virginia |
| Authorized Official Name and Position | Margaret Hickey (CEO) |
| Authorized Official Contact | 3042265725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Camden On Gauley Medical Center Inc 10003 Webster Rd Camden On Gauley WV 26208-7713 Ph: (304) 226-5725 | Camden On Gauley Medical Center Inc 16414 Webster Rd Craigsville WV 26205-8512 Ph: (304) 742-3004 |
| NPI Number | 1639611452 |
|---|---|
| Provider Enumeration Date | 11/10/2016 |
| Last Update Date | 05/08/2024 |
| Medicare PECOS PAC ID | 6002867850 |
|---|---|
| Medicare Enrollment ID | O20170217000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639611452 | NPI | - | NPPES |
| 1639611452-001 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Eric D. Hinkle, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16100 Webster Rd, Craigsville, WV 26205 Phone: 304-742-6400 |