| Camden On Gauley Medical Center Inc | |
|
110 Panther Creek Elementary Rd Nettie WV 26681-0000 | |
| (304) 226-5725 | |
| (304) 226-3274 |
| Full Name | Camden On Gauley Medical Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 Panther Creek Elementary Rd, Nettie, 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 110 Panther Creek Elementary Rd Nettie WV 26681-0000 Ph: (304) 226-5725 |
| NPI Number | 1174065916 |
|---|---|
| Provider Enumeration Date | 11/10/2016 |
| Last Update Date | 12/10/2021 |
| Medicare PECOS PAC ID | 6002867850 |
|---|---|
| Medicare Enrollment ID | O20170217000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174065916 | NPI | - | NPPES |
| 1174065916 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |