Healthcare Provider Details

I. General information

NPI: 1730959545
Provider Name (Legal Business Name): CHARLESTON AREA MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2024
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 ASSOCIATION DR
CHARLESTON WV
25311-1295
US

IV. Provider business mailing address

400 ASSOCIATION DR
CHARLESTON WV
25311-1295
US

V. Phone/Fax

Practice location:
  • Phone: 304-388-7400
  • Fax: 304-388-9633
Mailing address:
  • Phone: 304-388-7400
  • Fax: 304-388-9633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRIAN SAYRE
Title or Position: VP PHARMACY SERVICES
Credential:
Phone: 304-388-8917