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General NPI Number Information
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NPI Number | 1639168693
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Entity Type | Organization
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Legal Business Name | CHARLESTON AREA MEDICAL CENTER INC
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Dates
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Enumeration Date | 10/20/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 501 MORRIS ST
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City | CHARLESTON
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State | WV
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Zip | 25301-1326
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Country | US
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Telephone | 304-388-3322
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Fax | 304-388-3978
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Provider Business Mailing Address
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Address Line | 501 MORRIS ST
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City | CHARLESTON
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State | WV
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Zip | 25301-1326
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Country | US
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Telephone | 304-388-3322
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Fax | 304-388-3978
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | MR. STEPHEN Z BELL
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Credential |
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Telephone | 304-388-6251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 20
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License Number State | WV
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