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CH033100 CAMDEN-ON-GAULEY MEDICAL CENTER, INC. (Active)
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Main Details
Name
CAMDEN-ON-GAULEY MEDICAL CENTER, INC.
Subdivision Name
CAMDEN-ON-GAULEY MEDICAL CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004845
340B ID
CH033100
Grant Number
H80CS00078
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
12/14/2004
Last Recertification Date
2/23/2025
Contacts
Authorizing Official
Camden on Gauley Medical Center, Inc.
Margaret E Hickey, CEO
(304) 226-5725 Ext: 131
Primary Contact
Camden on Gauley Medical Center Inc.
Nathan Todd Angus, Director of Pharmacy
(304) 226-5725
Addresses
Street Address
10003 Webster Rd
Camden On Gauley, WV 26208
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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12/14/04 UPDATED ADDR
01/21/2010
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