| Camden On Gauley Medical Center Inc | |
|
101 Florence St Ansted WV 25812-5200 | |
| (304) 226-5725 | |
| (304) 226-3274 |
| Full Name | Camden On Gauley Medical Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Florence St, Ansted, West Virginia |
| Authorized Official Name and Position | Shanna Strader (HR MANAGER/CREDENTIALING) |
| 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 101 Florence St Ansted WV 25812-5200 Ph: (304) 226-5725 |
| NPI Number | 1801493499 |
|---|---|
| Provider Enumeration Date | 10/06/2020 |
| Last Update Date | 02/25/2022 |
| Medicare PECOS PAC ID | 6002867850 |
|---|---|
| Medicare Enrollment ID | O20201124003203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801493499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Summersville Outpatient Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Florence Street, Ansted, WV 25812 Phone: 304-883-0220 Fax: 304-872-8417 | |
Scott Keffer Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 James River & Kanawha Turnpike East, Ansted, WV 25812 Phone: 855-250-3054 Fax: 304-658-4690 |