Camden-Clark Physician Corporation
Emergency Medicine in Parkersburg, WV. Organization (NPI-2).
NPI number1295392140
StatusActive
Last updated in NPPESJun 24, 2025
Details
- NPI
- 1295392140
- Entity type
- Organization (NPI-2)
- Legal business name
- Camden-Clark Physician Corporation
- Organization subpart
- No
- Enumeration date
- May 28, 2019
- Certification date
- Jun 24, 2025
- Last updated
- Jun 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
4 Rosemar CirParkersburg, WV 26104-1219
Phone 304-865-5544 · Fax 304-865-5545
Mailing address
Po Box 843Morgantown, WV 26507-0843
Other practice locations
26 Acme St
Marietta, OH 45750-3306
Marietta, OH 45750-3306
Phone 740-374-4540 · Fax 740-374-3373
Authorized official
Kyle Pierson
Cfo/Authorized Official
3044242111
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