Organization · NPI-2

Camc Urgent Care Southridge

Family Medicine · South Charleston, WV

NPI number1376967471
StatusActive
Last updated in NPPESFeb 10, 2014

Details

NPI
1376967471
Entity type
Organization (NPI-2)
Legal business name
Camc Urgent Care Southridge
Organization subpart
Yes
Enumeration date
Feb 10, 2014
Last updated
Feb 10, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine20WVYes

Other names

  • Charleston Area Medical Center (Other Name)

Practice location

301 Rhl Ste 3
South Charleston, WV 25309-8275

Phone 304-388-7010 · Fax 304-388-7015

Mailing address

301 Rhl Ste 3
South Charleston, WV 25309-8275

Phone 304-388-7010 · Fax 304-388-7015

Authorized official

Stephen Z Bell
Vp Of Finance
3043886251

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