Charles W. Cammack Children'S Center, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

CHARLES W. CAMMACK CHILDREN'S CENTER, INC.

Practice address

64 6TH Ave W
Huntington, WV 25701-1751

Phone

(304) 523-3497

Fax

(304) 529-3882

NPI assigned

Jun 10, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Anthony Warnick

Title

Executive Director

Phone

(304) 523-3497

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1104086503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 6TH AVE W",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011751",
            "telephone_number": "304-523-3497",
            "fax_number": "304-529-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 6TH AVE W",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011751",
            "telephone_number": "304-523-3497",
            "fax_number": "304-529-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES W. CAMMACK CHILDREN'S CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "WARNICK",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-523-3497",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023392002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Huntington, WV by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.