Provider Demographics
NPI:1952390239
Name:CHARLESTON AREA MEDICAL CENTER INC
Entity Type:Organization
Organization Name:CHARLESTON AREA MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:Z
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-388-6251
Mailing Address - Street 1:501 MORRIS ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-1326
Mailing Address - Country:US
Mailing Address - Phone:304-388-3322
Mailing Address - Fax:304-388-3978
Practice Address - Street 1:501 MORRIS ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301
Practice Address - Country:US
Practice Address - Phone:304-388-3322
Practice Address - Fax:304-388-3978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-19
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV20282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0268688OtherOHIO MEDICAID
WV241779OtherMAMSI
WV030293300OtherBLACK LUNG
WV14130OtherCARELINK PEIA SVI
WV510022OtherCARELINK ACUTE
WVN045OtherTHE HEALTH PLAN
WV000324349OtherBLUE CROSS ACUTE
WV13118OtherCARELINK MEDICAID
WV211066OtherCARELINK PEIA SURG
MI404375307OtherMICHIGAN MEDICAID
WV0001342000OtherUNICARE
MI304675290OtherMICHIGAN MEDICAID
WV0001342000Medicaid
WV224707800OtherFEDERAL WC
WV241779OtherALLIANCE PPO
WV510022Medicare Oscar/Certification