| Camc Womens & Childrens Division - Uha | |
|
800 Pennsylvania Ave Charleston WV 25302-3351 | |
| (304) 388-1552 | |
| Not Available |
| Full Name | Camc Womens & Childrens Division - Uha |
|---|---|
| Speciality | Family Medicine |
| Location | 800 Pennsylvania Ave, Charleston, West Virginia |
| Authorized Official Name and Position | Robyn Mcdaniel (PROVIDER RELATIONS SUPERVISOR) |
| Authorized Official Contact | 3042935033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Camc Womens & Childrens Division - Uha Po Box 780 Morgantown WV 26507-0780 Ph: (304) 293-7401 | Camc Womens & Childrens Division - Uha 800 Pennsylvania Ave Charleston WV 25302-3351 Ph: (304) 388-1552 |
| NPI Number | 1134358955 |
|---|---|
| Provider Enumeration Date | 07/14/2009 |
| Last Update Date | 07/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134358955 | NPI | - | NPPES |
| 0011526000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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