Healthcare Provider Details

I. General information

NPI: 1245142579
Provider Name (Legal Business Name): CHARLESTON AREA MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2851 CHARLESTON ROAD SUITE 2
POCA WV
25159-7652
US

IV. Provider business mailing address

2851 CHARLESTON ROAD SUITE 2
POCA WV
25159-7652
US

V. Phone/Fax

Practice location:
  • Phone: 304-351-3015
  • Fax:
Mailing address:
  • Phone: 304-351-3015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: CHAD HOVIS
Title or Position: VP OF FINANCE
Credential:
Phone: 304-388-6251