MEDICARE: SUSAN L CAMPBELL CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	APRN.CNM.10196	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00665594	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063413029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN L CAMPBELL CNM

Provider Business Mailing Address
First Line	:	90 JACKSON PIKE
Second Line	:
City	:	GALLIPOLIS
State	:	OH
Zip	:	45631-1560
Country	:	US
Telephone Number	:	740-589-3100
Fax Number	:	740-589-3123

Provider Business Practice Location Address
First Line	:	2131 EAST STATE ST.
Second Line	:
City	:	ATHENS
State	:	OH
Zip	:	45701
Country	:	US
Telephone Number	:	740-589-3100
Fax Number	:	740-589-3123

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	11/09/2017

Similar Medicare Providers

1861333486 — TYLER FIGGS CT
Practice Location Address:

224 COLUMBUS RD
ATHENS, OH
45701-1334

Practice Phone: 740-592-6724
Practice Fax:

1720920259 — COURTNEY KUHNERT MSW
Practice Location Address:

20 MCGUFFEY LN
ATHENS, OH
45701-1828

Practice Phone: 614-472-5531
Practice Fax:

1134775927 — LASHAWN TAYLOR CDCA
Practice Location Address:

400 E STATE ST
ATHENS, OH
45701-1856

Practice Phone: 866-534-2639
Practice Fax: 800-480-7578

1114869443 — AMBER D. DEARDORFF SWT
Practice Location Address:

224 COLUMBUS RD
ATHENS, OH
45701-1334

Practice Phone: 740-592-6724
Practice Fax:

1659225258 — HANNAH SCHOOLEY
Practice Location Address:

11 GRAHAM DR
ATHENS, OH
45701-1430

Practice Phone: 800-321-8293
Practice Fax: 800-321-8293

1821876624 — TAYLOR J CARR
Practice Location Address:

11 GRAHAM DR
ATHENS, OH
45701-1430

Practice Phone: 800-321-8293
Practice Fax:

1326980004 — AUTUMN CABRA
Practice Location Address:

11 GRAHAM DR
ATHENS, OH
45701-1430

Practice Phone: 800-321-8293
Practice Fax:

Directions to “ SUSAN L CAMPBELL CNM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.