NPIMap

Organization Active NPI

Camden Clark Memorial Hospital Corporation

Doing business as Camden Clark Medical Center

  • General Acute Care Hospital
  • Parkersburg, WV
National Provider Identifier
1699704254
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
102 Issued in WV
Legal business name
CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION
Doing business as
Camden Clark Medical Center
Practice address
800 Garfield Ave
Parkersburg, WV 26101-5340
Phone
(304) 424-2111
Fax
(304) 424-2853
NPI assigned
Jul 3, 2006
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
Kyle Pierson
Title
Chief Financial Officer
Phone
(304) 424-2202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 102 WV Primary

Addresses

Primary practice location

800 Garfield Ave
Parkersburg, WV 26101-5340

Mailing address

800 Garfield Ave
P O Box 718
Parkersburg, WV 26101-5340
Phone (304) 424-2111

Other identifiers 11

IdentifierTypeStateIssuer
13142MedicaidWV
395282OtherBLACK LUNG
333916OtherGOV'T. EMP. HOSP. ASSOC.
57038OtherMETROPOLITAN LIFE
0001155000MedicaidWV
333916OtherALLIANCE/MAMSI INSURANCE
1252602MedicaidOH
000301325OtherBLUE CROSS
124467100OtherFEDERAL COMPENSATION
N180OtherHEALTH PLAN
1537181OtherUNITED MINE WORKERS

Other names 1

  • Camden Clark Medical Center Doing business as

Electronic endpoints 2

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

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
Practice locations: Mineral Wells, WV; Parkersburg, WV; Vienna, WV; Williamstown, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699704254. 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 with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

1901 Ann St
Parkersburg, WV 26101
Phone (304) 422-2400

2107 Pike St
Parkersburg, WV 26101
Phone (304) 424-2988

2838 Pike St
Parkersburg, WV 26101
Phone (304) 865-3674

705 Garfield Ave
Parkersburg, WV 26101
Phone (304) 424-2085

800 Garfield Ave
Ofc
Parkersburg, WV 26101

801 Garfield Ave
Ste 1
Parkersburg, WV 26101
Phone (304) 424-4249

1861 N Pleasants Hwy
Saint Marys, WV 26170
Phone (304) 681-3600

800 Grand Central Mall
Ste 12
Vienna, WV 26105
Phone (304) 485-3300

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.

Facilities with the same owner 52

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 52

Practitioners & affiliated clinicians

Practitioners 248

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 248

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": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1699704254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GARFIELD AVE",
            "address_2": "P O BOX 718",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015340",
            "telephone_number": "304-424-2111",
            "fax_number": "304-424-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GARFIELD AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015340",
            "telephone_number": "304-424-2111",
            "fax_number": "304-424-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "PIERSON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "304-424-2202"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WV",
            "license": "102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13142",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "395282",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOV'T. EMP. HOSP. ASSOC.",
            "identifier": "333916",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METROPOLITAN LIFE",
            "identifier": "57038",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001155000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE/MAMSI INSURANCE",
            "identifier": "333916",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1252602",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000301325",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL COMPENSATION",
            "identifier": "124467100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN",
            "identifier": "N180",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS",
            "identifier": "1537181",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com",
            "affiliation": "N",
            "endpointDescription": "v",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Parkway",
            "address_2": "Suite 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "21044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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"
        }
    ],
    "other_names": [
        {
            "organization_name": "Camden Clark Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Camden Clark Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.