NPIMap

Organization Active NPI

Charleston Area Medical Center

  • Clinic/Center
  • Charleston, WV
National Provider Identifier
1770790396
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
36304 Issued in WV
Legal business name
CHARLESTON AREA MEDICAL CENTER
Practice address
3200 Maccorkle Ave SE
Suite 906 Employee Health
Charleston, WV 25304-1227
Phone
(304) 388-5532
Fax
(304) 388-5557
NPI assigned
May 16, 2007
Last updated
Oct 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Authorized official

Name
Dr. Jack L Kinder, M.D.
Title
Medical Director Employee Health
Phone
(304) 388-5520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 36304 WV Primary

Addresses

Primary practice location

3200 Maccorkle Ave SE
Suite 906 Employee Health
Charleston, WV 25304-1227

Mailing address

3200 Maccorkle Ave SE
Suite 906 Employee Health
Charleston, WV 25304-1227
Phone (304) 388-5532

National Provider Directory

National Provider Directory
Tax ID family
Camc Physicians Health72 organizations share this tax ID, including this one

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

Locations

3200 Maccorkle Ave SE
Ste 906
Charleston, WV 25304
Phone (304) 388-5532

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1770790396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 MACCORKLE AVE SE",
            "address_2": "SUITE 906 EMPLOYEE HEALTH",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041227",
            "telephone_number": "304-388-5532",
            "fax_number": "304-388-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MACCORKLE AVE SE",
            "address_2": "SUITE 906 EMPLOYEE HEALTH",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041227",
            "telephone_number": "304-388-5532",
            "fax_number": "304-388-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON AREA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "KINDER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR EMPLOYEE HEALTH",
        "authorized_official_telephone_number": "304-388-5520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WV",
            "license": "36304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.