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Contact Information

CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION
800 GARFIELD AVE
PARKERSBURG, WV26101-5340
 Phone: 304-424-2111
 Fax: 304-424-2853
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION

NPI Number 1821018177
LBN Legal business name CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION
Authorized official ALLEN BUTCHER - (VICE PRESIDENT OF FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 07/20/2006
Last updated 10/06/2023 - About 3 years ago
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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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