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General NPI Number Information
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NPI Number | 1841221561
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Entity Type | Organization
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Legal Business Name | CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 800 GARFIELD AVENUE
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City | PARKERSBURG
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State | WV
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Zip | 26101-5378
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Country | US
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Telephone | 304-424-2111
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Fax | 304-424-2853
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Provider Business Mailing Address
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Address Line | POST OFFICE BOX 718 800 GARFIELD AVENUE
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City | PARKERSBURG
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State | WV
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Zip | 26102-0718
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Country | US
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Telephone | 304-424-2111
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Fax | 304-424-2853
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL A KING
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Credential |
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Telephone | 304-424-2111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 102
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License Number State | WV
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