National Provider Identifier Database

CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION
Hospice Care, Community Based

Contact Information

CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION
800 GARFIELD AVE
PARKERSBURG, WV  26101-5340
Phone: 304-424-2111
Fax: 304-424-2853
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION

NPI Number 1821018177
Legal business name
LBN		 CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION
Authorized official ALLEN BUTCHER - (VICE PRESIDENT OF FINANCE)
Entity Organization
Organization subpart No
Enumeration date 07/20/2006
Last updated 10/06/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • WV License #: 102
  • OH Medicaid: 2034604
  • WV Medicaid: 0001155100
  • WV Medicaid: 0001155104
  • Other: 333916 ALLIANCE/MAMSI INS.
  • Other: 700056 BLACK LUNG
  • Other: 00174882 BLUE CROSS
  • Other: 556009259 CARELINK
  • Other: 333916 GOV'T. EMP. HOSP. ASSOC.
  • Other: N180 HEALTH PLAN
  • Other: 1537181 UNITED MINE WORKERS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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