CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION (NPI# 1801057807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801057807 |
| Entity Type | Organization |
| Organization Name | CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION |
| Other Organization Name | CAMDEN CLARK AMBULANCE SERVICE |
| Practice Address |
800 Garfield Ave Parkersburg WV 26101-5340 |
| Practice Telephone | 3044242111 |
| Practice Fax Number | 3044242853 |
| Mailing Telephone | 3044242111 |
| Mailing Fax Number | 3044242853 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2015-07-22 |
| Authorized Official Name | DAVID K MCCLURE (PRESIDENT AND CEO) |
| Authorized Official Telephone | 3044242111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
102 | WV | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | CARELINK MEDICAID HMO | 13142 | 01 |
| HEALTH PLAN | N180 | 01 | |
| OH | 1252602 | 05 | |
| UNITED MINE WORKERS | 1537181 | 01 | |
| BLACK LUNG | 395282 | 01 | |
| ALLIANCE/MAMSI INSURANCE | 333916 | 01 | |
| GOV'T EMP. HOSP. ASSOC. | 333916 | 01 | |
| WV | 0001155005 | 05 | |
| METROPOLITAN LIFE | 57038 | 01 | |
| BLUE CROSS | 001705070 | 01 | |
| FEDERAL COMPENSATION | 124467100 | 01 |
| Other Name | Type Code |
|---|---|
| Camden Clark Ambulance Service | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528440070 | Camden Clark Memorial Hospital Corporation | Ambulance | 800 Garfield Ave, Parkersburg, WV 26101-5340 | 2015-06-22 |
| 1508160268 | Camden Clark Memorial Hospital Corporation | General Acute Care Hospital | 1824 Murdoch Ave, Parkersburg, WV 26101-3230 | 2011-01-10 |
| 1104063098 | Camden Clark Memorial Hospital Corporation | General Practice | 800 Garfield Ave, Parkersburg, WV 26101-5340 | 2009-01-14 |
| 1760551576 | Camden Clark Memorial Hospital Corporation | Psychiatric Unit | 800 Garfield Ave, Parkersburg, WV 26101-5340 | 2006-11-07 |
| 1821018177 | Camden Clark Memorial Hospital Corporation | Hospice Care, Community Based | 800 Garfield Ave, Parkersburg, WV 26101-5340 | 2006-07-20 |
| 1518990340 | Camden Clark Memorial Hospital Corporation | Home Health | 800 Garfield Ave, Parkersburg, WV 26101-5340 | 2006-07-07 |
| 1699704254 | Camden Clark Memorial Hospital Corporation | General Acute Care Hospital | 800 Garfield Ave, Parkersburg, WV 26101-5340 | 2006-07-03 |
| Street Address |
800 GARFIELD AVE |
| City | PARKERSBURG |
| State | WV |
| Zip Code | 26101-5340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497751937 | Craig A Chambers | Radiology | 800 Garfield Ave, Parkersburg, WV 26101-5340 | 2005-06-21 |
| 1952929531 | Suzanne Baker | Dietitian, Registered | 800 Garfield Ave, Parkersburg, WV 26101-5376 | 2020-07-09 |
| 1942823018 | Terrance Huntar Shank | Physician Assistant | 800 Garfield Ave, Parkersburg, WV 26101-5376 | 2020-05-25 |
| 1184244980 | Summer Meadows | Nurse Anesthetist, Certified Registered | 800 Garfield Ave, Parkersburg, WV 26101-5376 | 2020-04-21 |
| 1750918546 | Brittany Mathis | Nurse Practitioner | 800 Garfield Ave, Parkersburg, WV 26101-5376 | 2020-03-24 |
| 1447899216 | Schuyler Simons | Nurse Practitioner | 800 Garfield Ave, Parkersburg, WV 26101-5340 | 2019-12-27 |
| 1952945768 | Victoria Sanders | Physician Assistant | 800 Garfield Ave, Parkersburg, WV 26101-5340 | 2019-11-05 |
| 1629628565 | Chad Wayne Ball | Nurse Practitioner | 800 Garfield Ave, Parkersburg, WV 26101-5340 | 2019-09-12 |
| 1154974756 | Ashley Marie Cottrill | Speech-Language Pathologist | 800 Garfield Ave, Parkersburg, WV 26101-5340 | 2019-07-23 |
| 1972166221 | Andrea Beth Lazor | Physical Therapist | 800 Garfield Ave, Parkersburg, WV 26101-5340 | 2019-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332682 | Tana Shea | Technician | 1906 Camden Ave, Parkersburg, WV 26101 | 2020-10-08 |
| 1386241776 | Karen Sleeth-harrison | Technician | 149 Rolling Hills Ct, Parkersburg, WV 26101 | 2020-10-08 |
| 1679120786 | Hope Hill Mental Wellness Center LLC | Nurse Practitioner | 1809 Dupont Rd E. Suite #1, Parkersburg, WV 26101 | 2019-08-22 |
| 1699230128 | Sarah Marie Hendrix | Nurse Practitioner | 1013 Garfield Avenue, Parkersburg, WV 26101 | 2019-02-08 |
| 1871085787 | Jeffrey G. Minchau, Dds, Ms, Inc. | Dentist | 2601 Dudley Avenue, Bldg. 1, Parkersburg, WV 26101 | 2018-06-06 |
| 1902324544 | Medexpress Urgent Care, PC - Virginia | Family Medicine | 17 Ronald Regan Drive, Parkersburg, WV 26101 | 2017-09-05 |
| 1033634282 | Caitlin Elizabeth Lanese | Speech-Language Pathologist | 2010 Garfield Ave Ste 2, Parkersburg, WV 26101 | 2017-08-09 |
| 1386168391 | Maria Cristina Steriu | Internal Medicine | 800 Garfield Ave Rm G102, Parkersburg, WV 26101 | 2017-08-01 |
| 1003342791 | Sue Ellen Kendall | Community Health Worker | 3407 7th Ave, Parkersburg, WV 26101 | 2017-05-02 |
| 1083161400 | Total Renal Care Inc | Clinic/Center | 214 Gihon Vlg, Parkersburg, WV 26101 | 2016-09-01 |
| Find all providers in zip 26101 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427116524 | City of Parkersburg | Ambulance | 608 Highway 57, Parkersburg, IA 50665-1065 | 2006-12-04 |
| 1801896626 | Wood County Ambulance Service | Ambulance | 911 Core Rd, Parkersburg, WV 26104-2954 | 2005-07-22 |
| 1073512414 | Mjs Enterprises Inc | Ambulance | 1619 Saint Marys Ave, Parkersburg, WV 26101-3346 | 2005-07-19 |
| 1528440070 | Camden Clark Memorial Hospital Corporation | Ambulance | 800 Garfield Ave, Parkersburg, WV 26101-5340 | 2015-06-22 |
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| Find all providers with the same taxonomy | ||||
| City | PARKERSBURG |
| Zip Code | 26101 |
Please comment or provide details below to improve the information on CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.