NPIMap

Organization Active NPI

Charleston Area Medical Center, Inc.

  • Rural Health Clinic/Center
  • Ravenswood, WV
National Provider Identifier
1790604478
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CHARLESTON AREA MEDICAL CENTER, INC.
Practice address
403 Professional Cir
Ravenswood, WV 26164-1357
Phone
(304) 865-3631
NPI assigned
Jul 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Chad Hovis
Title
VP Finance
Phone
(304) 388-6251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

403 Professional Cir
Ravenswood, WV 26164-1357

Mailing address

403 Professional Cir
Ravenswood, WV 26164-1357
Phone (304) 865-3631

Other names 1

  • Vandalia Health Primary Care Ravenswood Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2278611Vandalia Health Primary Care Ravenswood403 Professional Circle, Ravenswood, WV 26164Certificate of waiverMar 20, 2027

National Provider Directory

National Provider Directory
Tax ID family
Camc Physicians Health29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1790604478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 PROFESSIONAL CIR",
            "city": "RAVENSWOOD",
            "state": "WV",
            "postal_code": "261641357",
            "telephone_number": "304-865-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 PROFESSIONAL CIR",
            "city": "RAVENSWOOD",
            "state": "WV",
            "postal_code": "261641357",
            "telephone_number": "304-865-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON AREA MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "HOVIS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "304-388-6251"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vandalia Health Primary Care Ravenswood",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ravenswood, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.