NPIMap

Organization Active NPI

Camc Urgent Care Southridge

  • Family Medicine Physician
  • South Charleston, WV
National Provider Identifier
1376967471
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20 Issued in WV
Legal business name
CAMC URGENT CARE SOUTHRIDGE
Practice address
301 RHL Ste 3
South Charleston, WV 25309-8275
Phone
(304) 388-7010
Fax
(304) 388-7015
NPI assigned
Feb 10, 2014
Last updated
Feb 10, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
CHARLESTON AREA MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Authorized official

Name
Mr. Stephen Z Bell
Title
VP of Finance
Phone
(304) 388-6251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20 WV Primary

Addresses

Primary practice location

301 RHL Ste 3
South Charleston, WV 25309-8275

Mailing address

301 RHL Ste 3
South Charleston, WV 25309-8275
Phone (304) 388-7010

Other names 1

  • Charleston Area Medical Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Dane E Beavers MD68 organizations share this tax ID, including this one
Part of
Dane E Beavers MD

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1376967471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 RHL STE 3",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253098275",
            "telephone_number": "304-388-7010",
            "fax_number": "304-388-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 RHL STE 3",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253098275",
            "telephone_number": "304-388-7010",
            "fax_number": "304-388-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMC URGENT CARE SOUTHRIDGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLESTON AREA MEDICAL CENTER",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "304-388-6251",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charleston Area Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.