| Camden On Gauley Medical Center Inc | |
|
165 Country Rd Summersville WV 26651-4018 | |
| (304) 226-5725 | |
| (304) 226-3274 |
| Full Name | Camden On Gauley Medical Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 165 Country Rd, 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) 226-5725 | Camden On Gauley Medical Center Inc 165 Country Rd Summersville WV 26651-4018 Ph: (304) 226-5725 |
| NPI Number | 1104639616 |
|---|---|
| Provider Enumeration Date | 01/29/2025 |
| Last Update Date | 01/29/2025 |
| Medicare PECOS PAC ID | 6002867850 |
|---|---|
| Medicare Enrollment ID | O20250224000588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104639616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Mindy L Bostic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871880856 PECOS PAC ID: 3577735638 Enrollment ID: I20111013000594 |
| Provider Name | Heather N Sharp-spinks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376790170 PECOS PAC ID: 1658539341 Enrollment ID: I20120227000702 |
| Provider Name | Kara M Holdren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033519558 PECOS PAC ID: 8224351465 Enrollment ID: I20141223000715 |
| Provider Name | Sara Sanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437540374 PECOS PAC ID: 2769700558 Enrollment ID: I20150407000907 |
| Provider Name | Arrettia Jane Bush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295179539 PECOS PAC ID: 3678879723 Enrollment ID: I20161025000000 |
| Provider Name | Misty James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891236873 PECOS PAC ID: 0941579940 Enrollment ID: I20170707000274 |
| Provider Name | Anna Philpott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184147522 PECOS PAC ID: 4789940651 Enrollment ID: I20171108003419 |
| Provider Name | Heather Dawn Glasko-tully |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003489808 PECOS PAC ID: 1850782384 Enrollment ID: I20211216002834 |
| Provider Name | Paula Michelle Brammer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346599313 PECOS PAC ID: 8820462740 Enrollment ID: I20230316000384 |
| Provider Name | Toshua Dainelle Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952931842 PECOS PAC ID: 8729430111 Enrollment ID: I20240122002851 |
| Provider Name | Elizabeth Antoinette Brooke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659894509 PECOS PAC ID: 9133481898 Enrollment ID: I20240401003100 |
| Provider Name | Keith R De Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083829402 PECOS PAC ID: 0941378566 Enrollment ID: I20240812003514 |
Camden On Gauley Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 477 Scenic Hwy, Summersville, WV 26651 Phone: 304-226-5725 Fax: 304-226-3274 | |
Fairview Health Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Fairview Heights Rd, Summersville, WV 26651 Phone: 304-872-5090 Fax: 304-872-0636 | |
Summersville Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Fairview Heights Rd, Summersville, WV 26651 Phone: 304-872-8402 Fax: 304-872-6854 | |
New River Health Association, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 Fairview Heights Rd, Summersville, WV 26651 Phone: 304-469-2905 Fax: 304-465-5486 | |
Professional Medical Ultrasonics Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4089 Webster Rd Suite 5, Summersville, WV 26651 Phone: 304-872-8396 | |
Summersville Family Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 211 Merchants Walk, Shopping Center, Summersville, WV 26651 Phone: 304-645-4043 |