NPIMap

Organization Active NPI

Camden on Gauley Medical Center Inc

Doing business as Central WV Community Health Center

  • Clinical Medical Laboratory
  • Summersville, WV
National Provider Identifier
1780724633
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
035737 Issued in WV
Legal business name
CAMDEN ON GAULEY MEDICAL CENTER INC
Doing business as
Central WV Community Health Center
Practice address
55 Friends R Fun Dr
Summersville, WV 26651-9514
Phone
(304) 226-5725
Fax
(304) 226-3274
NPI assigned
Feb 8, 2007
Last updated
Jan 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Judith Lynn Hamrick
Title
Administrator
Phone
(304) 226-5725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 035737 WV Primary

Addresses

Primary practice location

55 Friends R Fun Dr
Summersville, WV 26651-9514

Mailing address

PO Box 69
Camden on Gauley, WV 26208-0069
Phone (304) 226-5725

Other identifiers 1

IdentifierTypeStateIssuer
51D0991149OtherWVCLIA-SUMMERSVILLE

Other names 1

  • Central WV Community Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Camden on Gauley Medica21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1780724633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "CAMDEN ON GAULEY",
            "state": "WV",
            "postal_code": "262080069",
            "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": "55 FRIENDS R FUN DR",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266519514",
            "telephone_number": "304-226-5725",
            "fax_number": "304-226-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN ON GAULEY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "HAMRICK",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-226-5725"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WV",
            "license": "035737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA-SUMMERSVILLE",
            "identifier": "51D0991149",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central WV Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summersville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.