CAMDEN ON GAULEY MEDICAL CENTER INC (NPI# 1801935242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801935242 |
| Entity Type | Organization |
| Organization Name | CAMDEN ON GAULEY MEDICAL CENTER INC |
| Other Organization Name | CAMDEN ON GAULEY MEDICAL CENTER PHARMACY |
| Practice Address |
10003 Webster Rd. Camden On Gauley WV 26208-0069 |
| Mailing Address |
Po Box 69 Camden On Gauley WV 26208-0069 |
| Practice Telephone | 3042265725 |
| Practice Fax Number | 3042263274 |
| Mailing Telephone | 3042265725 |
| Mailing Fax Number | 3042263274 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2009-01-21 |
| Authorized Official Name | JUDITH LYNN HAMRICK (ADMINISTRATOR) |
| Authorized Official Telephone | 3042265725 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RP0005879 | WV | Pharmacy Service Providers |
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
SP0550588 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | AC7626053 | 01 | |
| WV | REGISTERED PHARMACY PERMI | SP0550588 | 01 |
| Other Name | Type Code |
|---|---|
| Camden On Gauley Medical Center Pharmacy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493499 | Camden On Gauley Medical Center Inc | Clinic/Center | 52 Florence Street, Ansted, WV 25812 | 2020-10-06 |
| 1427585157 | Camden On Gauley Medical Center Inc | Clinic/Center | 16414 Webster Rd, Craigsville, WV 26205-8512 | 2017-05-12 |
| 1700312618 | Camden On Gauley Medical Center Inc | Clinic/Center | 190 Riverside Dr, Room 2109, Richwood, WV 26261-1251 | 2017-05-11 |
| 1174065916 | Camden On Gauley Medical Center Inc | Clinic/Center | 110 Panther Creek Elementary Rd, Nettie, WV 26681-0000 | 2016-11-10 |
| 1861872541 | Camden On Gauley Medical Center Inc | Clinic/Center | 300 Minuteman Drive, Weston, WV 26452-1736 | 2015-06-08 |
| 1629248612 | Camden On Gauley Medical Center Inc | Clinic/Center | 1 Highlander Dr, Upperglade, WV 26266-9400 | 2008-03-05 |
| 1598749244 | Camden On Gauley Medical Center Inc | Clinic/Center | 10003 Webster Rd, Camden On Gauley, WV 26208-0069 | 2005-12-05 |
| 1508372228 | Camden On Gauley Medical Center Inc | Clinic/Center | 415 Main St, Summersville, WV 26651-1343 | 2017-12-18 |
| 1639611452 | Camden On Gauley Medical Center Inc | Clinic/Center | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2016-11-10 |
| 1215394648 | Camden On Gauley Medical Center Inc | Clinic/Center | 46 Red Oak Dr, Craigsville, WV 26205-3102 | 2016-01-15 |
| Street Address |
10003 WEBSTER RD. |
| City | CAMDEN ON GAULEY |
| State | WV |
| Zip Code | 26208-0069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083715528 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 18116 Webster Road, Craigsville, WV 26208 | 2006-09-26 |
| 1386900140 | Elizabeth Ann Coffman | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208 | 2012-04-05 |
| 1831239946 | Anna Katherine Bobbitt | Physician Assistant | 10003 Webster Rd, Camden On Gauley, WV 26208 | 2007-02-07 |
| 1871633727 | Camden On Gauley Medical Center Inc | Clinical Medical Laboratory | 10003 Webster Road, Camden On Gauley, WV 26208-0000 | 2007-02-08 |
| 1134184211 | Kimberly J Angus | Nurse Practitioner | 10003 Webster Road, Camden On Gauley, WV 26208-0069 | 2006-04-20 |
| 1598749244 | Camden On Gauley Medical Center Inc | Clinic/Center | 10003 Webster Rd, Camden On Gauley, WV 26208-0069 | 2005-12-05 |
| 1003089905 | Milissa K Short | Nurse Practitioner | 10003 Webster Road, Camden On Gauley, WV 26208-0069 | 2008-04-11 |
| 1376712893 | Crystal Rose Taylor | Nurse Practitioner | 10003 Webster Road, Camden On Gauley, WV 26208-0069 | 2008-02-28 |
| 1093900714 | Vivian Jean Carr | Physician Assistant | 10003 Webster Rd, Camden On Gauley, WV 26208-0069 | 2007-09-06 |
| 1568661064 | Crystal Marie Hickman Rodebaugh | Family Medicine | 10003 Webster Road, Camden-on-gauley, WV 26208-3702 | 2007-07-13 |
| Find all providers in zip 26208 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356732192 | Wirt County Health Svc Assoc Inc | Pharmacy | 512 Church St S, Ripley, WV 25271-1616 | 2015-02-16 |
| 1609194505 | New River Health Association, Inc. | Pharmacy | 302 W. Main St, Sophia, WV 25921 | 2010-05-17 |
| 1487889010 | Community Health Systems Inc | Pharmacy | 131 Mellon St, Beckley, WV 25801 | 2009-05-27 |
| 1962698118 | Community Health Sytems, Inc | Pharmacy | 7127 Harper Rd, Glen Daniel, WV 25844 | 2007-09-21 |
| 1265592679 | Wv Rural Health Care Partnership | Pharmacy | State Route 79 Cabin Creek Road, Dawes, WV 25054-0070 | 2006-12-08 |
| 1912090135 | Wirt County Health Svc Assoc Inc | Pharmacy | 606 Washington St, Ravenswood, WV 26164-1730 | 2006-10-02 |
| 1386682540 | Community Health Systems Inc | Pharmacy | 252 Rural Acres Dr, Beckley, WV 25801-3503 | 2006-06-02 |
| 1679073779 | Boone Memorial Hospital, Inc | Pharmacy | 697 Madison Avenue, Suite B, Madison, WV 25130-2513 | 2018-02-15 |
| 1659762466 | Shenandoah Pharmacy, LLC | Pharmacy | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2015-02-16 |
| 1558796326 | Ebenezer Medical Outreach Inc | Pharmacy | 1448 10th Ave, Huntington, WV 25701-3581 | 2013-09-11 |
| Find all providers with the same taxonomy | ||||
| City | CAMDEN ON GAULEY |
| Zip Code | 26208 |
Please comment or provide details below to improve the information on CAMDEN ON GAULEY MEDICAL CENTER INC.
| 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.