Basic Information
| Provider Information | |||||||||
| NPI: | 1114243680 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CHARLESTON AREA MEDICAL CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3103 MACCORKLE AVE SE | ||||||||
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| City: | CHARLESTON | ||||||||
| State: | WV | ||||||||
| PostalCode: | 253041217 | ||||||||
| CountryCode: | US | ||||||||
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| Address1: | 3103 MACCORKLE AVE SE | ||||||||
| Address2: | |||||||||
| City: | CHARLESTON | ||||||||
| State: | WV | ||||||||
| PostalCode: | 253041217 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3043885432 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/08/2010 | ||||||||
| LastUpdateDate: | 04/08/2010 | ||||||||
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| AuthorizedOfficialLastName: | RAMSEY | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 3043885432 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 01239 | WV | Y | Hospitals | General Acute Care Hospital |
No ID Information.