NPIMap

Organization Active NPI

Camden on Gauley Medical Center Inc

Doing business as Camden Family Health (Richwood)

  • Federally Qualified Health Center (FQHC)
  • Richwood, WV
National Provider Identifier
1396119343
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CAMDEN ON GAULEY MEDICAL CENTER INC
Doing business as
Camden Family Health (Richwood)
Practice address
58 E Main St
Richwood, WV 26261-1122
Phone
(304) 846-2608
NPI assigned
Nov 13, 2015
Last updated
Nov 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Authorized official

Name
Margaret Hickey
Title
C Eo
Phone
(304) 226-5725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

58 E Main St
Richwood, WV 26261-1122

Mailing address

10003 Webster Rd
Camden on Gauley, WV 26208-7713
Phone (304) 226-5725

Other names 1

  • Camden Family Health (Richwood) Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396119343. Details of each certification follow.

  • CCN 511088 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 511088

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CAMDEN FAMILY HEALTH - RICHWOOD
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 28, 2015
Last certification
Dec 28, 2015
Ownership / control type
For profit – corporation
Facility address
58 East Main Street
Richwood, WV 26261

National Provider Directory

National Provider Directory

Locations

58 E Main St
Richwood, WV 26261
Phone (304) 846-2608

NPI Registry JSON

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1396119343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10003 WEBSTER RD",
            "city": "CAMDEN ON GAULEY",
            "state": "WV",
            "postal_code": "262087713",
            "telephone_number": "304-226-5725",
            "fax_number": "304-226-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 E MAIN ST",
            "city": "RICHWOOD",
            "state": "WV",
            "postal_code": "262611122",
            "telephone_number": "304-846-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN ON GAULEY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "HICKEY",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "C EO",
        "authorized_official_telephone_number": "304-226-5725"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camden Family Health (Richwood)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richwood, WV

Sources for this page

Verify at the official NPI Registry.