| Camden On Gauley Medical Center Inc | |
|
415 Main St Summersville WV 26651-1343 | |
| (304) 872-1663 | |
| (304) 872-8104 |
| Full Name | Camden On Gauley Medical Center Inc |
|---|---|
| Speciality | Dentist |
| Location | 415 Main St, Summersville, 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) 872-1663 | Camden On Gauley Medical Center Inc 415 Main St Summersville WV 26651-1343 Ph: (304) 872-1663 |
| NPI Number | 1013590744 |
|---|---|
| Provider Enumeration Date | 04/30/2021 |
| Last Update Date | 04/30/2021 |
| Medicare PECOS PAC ID | 6002867850 |
|---|---|
| Medicare Enrollment ID | O20230921001953 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013590744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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