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CH03310Q Camden-On-Gauley Medical Center, Inc. (Active)
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Main Details
Name
Camden-On-Gauley Medical Center, Inc.
Subdivision Name
Camden Family Health - Summersville Elementary School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-024785
340B ID
CH03310Q
Grant Number
H80CS00078
Additional Details
Current Program Status
Active
Registration Date
1/8/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/10/2019
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
70 Grade School Lane
Summersville, WV 26651-0000
Billing Address
Camden on Gauley Medical Center, Inc
10003 Webster Road
Camden on Gauley, WV 26208-7713
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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