NPIMap

Organization Active NPI

Camden Clark Memorial Hospital Corporation

  • General Acute Care Hospital
  • Parkersburg, WV
National Provider Identifier
1508160268
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION
Practice address
1824 Murdoch Ave
Parkersburg, WV 26101-3230
Phone
(304) 424-4111
NPI assigned
Jan 10, 2011
Last updated
Oct 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Mr. Allen Butcher
Title
Vice President of Finance
Phone
(304) 424-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

1824 Murdoch Ave
Parkersburg, WV 26101-3230

Mailing address

800 Garfield Ave
Parkersburg, WV 26101-5340
Phone (304) 424-2111

Other identifiers 3

IdentifierTypeStateIssuer
1252602MedicaidOH
13142MedicaidWV
3810020360MedicaidWV

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH
CONNECT URL https://www.mettles.com/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061219000517 WV Part A Provider - Hospital 5890695530 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mineral Wells, WV; Parkersburg, WV; Vienna, WV; Williamstown, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508160268. Details of each certification follow.

Hospital certification: CCN 510058

Legal name
CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION
Doing business as
CAMDEN CLARK MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 11, 2012
Beds
343
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 25, 1997 in WV
Enrollment address
800 Garfield Avenue
Parkersburg, WV 26101-5340
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Camden Clark Medical CenterCCN 510058 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

800 Garfield Ave
Ofc
Parkersburg, WV 26101

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Orton C Armstrong Individual Corporate DirectorBoard Member Jan 1, 2017
Joseph Campbell Individual Corporate DirectorBoard Member Jul 24, 2012
Randall Snider Individual Corporate DirectorSecretary Mar 20, 2015
Terry W Capel Individual Corporate DirectorChair Jul 1, 2003
West Virginia United Health System, Inc Organization, Morgantown, WV Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Mar 31, 2011 100%
Tori Jackson Individual Corporate DirectorBoard Member Dec 2, 2025
Kyle a Pierson Individual Corporate OfficerCfo (Ao) Jan 1, 2019
W-2 Managing EmployeeCfo (Ao) Jan 1, 2019
Abiy K Kelil Individual Corporate DirectorEx-Officio - Medical Staff Represen Jan 1, 2026
Linford Lovell Individual Corporate DirectorBoard Member Jul 1, 2017
Kathy Eddy Individual Corporate DirectorVice Chair Jul 1, 1997
Sean Smith Individual Corporate OfficerPresident/Ceo (Ao) Jul 1, 2017
W-2 Managing EmployeePresident/Ceo (Ao) Dec 12, 2011
Nicholas J Barcellona Individual Corporate DirectorBoard Member Dec 2, 2025

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 614

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 614

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1508160268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GARFIELD AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015340",
            "telephone_number": "304-424-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 MURDOCH AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013230",
            "telephone_number": "304-424-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "BUTCHER",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "304-424-2111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1252602",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13142",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810020360",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.