| Organization Name: | CAMC URGENT CARE CENTER |
| NPI Number: | 1700899226 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFF GOODE (ADMINISTRATOR) |
| Mailing Address: | 314 Goff Mountain Rd Suite 3 Cross Lanes |
| State: | WV US |
| Postal Code: | 253131415 |
| Phone Number: | 3043887070 |
| Fax Number: | |
| NPI Enumeration Date: | 08/14/2006 |
| NPI Last Update Date: | 07/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 14012 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |