Camden On Gauley Medical Center Inc in Summersville - Federally Qualified Health Center (fqhc)
Camden On Gauley Medical Center Inc - NPI 1558340414
Camden On Gauley Medical Center Inc is a Federally Qualified Health Center (fqhc) in Summersville, . Camden On Gauley Medical Center Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Camden On Gauley Medical Center Inc is 1558340414. The last update date is 2010-11-18.
Camden On Gauley Medical Center Inc's current location address is 55 Friends R Fun Dr, Summersville, . You can contact this provider via phone number 3048721663 and fax number 3048721804. The mailing address for Camden On Gauley Medical Center Inc is 55 Friends R Fun Dr, Summersville, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Camden On Gauley Medical Center Inc |
|---|---|
| Address | 55 Friends R Fun Dr, Summersville, |
| Phone Number | 3048721663 |
| Fax Number | 3048721804 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Hamrick Lynn Judith |
| Telephone Number | 3042265725 |
NPI Number Detail
| NPI Number | 1558340414 |
|---|---|
| Provider Enumeration Date | 2006-01-10 |
| Last Updated Date | 2010-11-18 |
Provider Mailing Address Detail
| Address | 55 Friends R Fun Dr |
|---|---|
| City | Summersville |
| State | (WV) |
| Post Code | 266519514 |
| Phone Number | 3048721663 |
| Fax Number | 3048721804 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 35222000 | WV | -- | |
| 5197060 | WV | AETNA | |
| 3810014298 | WV | -- | |
| 1709708 | WV | MS BCBS | |
| CC5506 | WV | RR MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Camden On Gauley Medical Center Inc by the Centers for Medicare & Medicaid Services?
The Camden On Gauley Medical Center Inc has been assigned the NPI (National Provider Identifier) 1558340414. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Camden On Gauley Medical Center Inc is physically located?
The Camden On Gauley Medical Center Inc is physically situated at the following address: 55 Friends R Fun Dr, Summersville, WV, 266519514.
What is the Camden On Gauley Medical Center Inc's specialty and taxonomy code?
The Camden On Gauley Medical Center Inc's specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1558340414 to Camden On Gauley Medical Center Inc?
The Centers for Medicare & Medicaid Services assigned the 1558340414 to Camden On Gauley Medical Center Inc on 2006-01-10.
As of what date were the Camden On Gauley Medical Center Inc's details last updated?
The information pertaining to the Camden On Gauley Medical Center Inc, including its address, specialty, and other details, was most recently updated on 2010-11-18.