Camden On Gauley Medical Center Inc | |
110 Schoolhouse Ln Mount Nebo WV 26679-8235 | |
(304) 226-5725 | |
(304) 226-3274 |
Full Name | Camden On Gauley Medical Center Inc |
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Speciality | Clinic/Center |
Location | 110 Schoolhouse Ln, Mount Nebo, West Virginia |
Authorized Official Name and Position | Margaret Hickey (CEO) |
Authorized Official Contact | 3047423570 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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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 Schoolhouse Ln Mount Nebo WV 26679-8235 Ph: (304) 226-5725 |
NPI Number | 1629881131 |
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Provider Enumeration Date | 01/29/2025 |
Last Update Date | 01/29/2025 |
Medicare PECOS PAC ID | 6002867850 |
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Medicare Enrollment ID | O20250225000322 |
Identifier | Type | State | Issuer |
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1629881131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Milissa K Short |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003089905 PECOS PAC ID: 5799832143 Enrollment ID: I20090422000192 |
Provider Name | Mindy L Bostic |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871880856 PECOS PAC ID: 3577735638 Enrollment ID: I20111013000594 |
Provider Name | Heather N Sharp-spinks |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1376790170 PECOS PAC ID: 1658539341 Enrollment ID: I20120227000702 |
Provider Name | Kara M Holdren |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033519558 PECOS PAC ID: 8224351465 Enrollment ID: I20141223000715 |
Provider Name | Sara Sanson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437540374 PECOS PAC ID: 2769700558 Enrollment ID: I20150407000907 |
Provider Name | Sarah D Skaggs |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1083015184 PECOS PAC ID: 1456664226 Enrollment ID: I20150722005563 |
Provider Name | Arrettia Jane Bush |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295179539 PECOS PAC ID: 3678879723 Enrollment ID: I20161025000000 |
Provider Name | Misty James |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891236873 PECOS PAC ID: 0941579940 Enrollment ID: I20170707000274 |
Provider Name | Anna Philpott |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184147522 PECOS PAC ID: 4789940651 Enrollment ID: I20171108003419 |
Provider Name | Jill Marie Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821507492 PECOS PAC ID: 2668739525 Enrollment ID: I20171130002134 |
Provider Name | Holly Fitzwater |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932752078 PECOS PAC ID: 3577984731 Enrollment ID: I20200527000648 |
Provider Name | Tricia Dawn Simpkin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386242600 PECOS PAC ID: 8921417361 Enrollment ID: I20210514000662 |
Provider Name | Heather Dawn Glasko-tully |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003489808 PECOS PAC ID: 1850782384 Enrollment ID: I20211216002834 |
Provider Name | Paula Michelle Brammer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346599313 PECOS PAC ID: 8820462740 Enrollment ID: I20230316000384 |
Provider Name | Toshua Dainelle Short |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952931842 PECOS PAC ID: 8729430111 Enrollment ID: I20240122002851 |
Provider Name | Elizabeth Antoinette Brooke |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1659894509 PECOS PAC ID: 9133481898 Enrollment ID: I20240401003100 |
Provider Name | Keith R De Young |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083829402 PECOS PAC ID: 0941378566 Enrollment ID: I20240812003514 |