CAMDEN FAMILY DENTISTRY
NPI 1013590744
Clinic/Center - Federally Qualified Health Center (FQHC) in Summersville, WV
About Camden Family Dentistry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAMDEN FAMILY DENTISTRY (NPI 1013590744) is a healthcare organization registered as a federally qualified health center (fqhc) in Summersville, West Virginia and active in the NPI registry since April 2021. The organization holds a CLIA Microscopy certificate valid through July 12, 2027 and lists Margaret Hickey, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Camden Family Dentistry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Camden Family Dentistry, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 51D0017142
Camden On Gauley Medical Center, Inc Dba Camden Family Health · Camden On Gauley, WVFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Camden On Gauley Medical Center Inc's NPI number?
The NPI number for Camden On Gauley Medical Center Inc is 1013590744. It was assigned to this organization in the NPPES registry on April 30, 2021. The provider is doing business as Camden Family Dentistry.
Where is Camden On Gauley Medical Center Inc located?
Camden On Gauley Medical Center Inc is located at 415 Main St, Summersville, WV 26651. The listed phone number is (304) 872-1663.
What is Camden On Gauley Medical Center Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Camden On Gauley Medical Center Inc enrolled in Medicare?
Yes. Camden On Gauley Medical Center Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Camden On Gauley Medical Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dentist, reassign their Medicare billing to Camden On Gauley Medical Center Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Camden On Gauley Medical Center Inc hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 51D0017142) is associated with this NPI, valid through July 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Camden On Gauley Medical Center Inc was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Camden Family Dentistry · NPI 1013590744
Federally Qualified Health Center (FQHC) organization in Summersville, West Virginia. Organization record, active in the CMS NPPES registry since April 30, 2021.
## Identity
- **NPI:** 1013590744 (Entity type: Organization)
- **Enumerated:** April 30, 2021
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Camden On Gauley Medical Center Inc
- **Organization subpart:** No
- **Authorized official:** Margaret Hickey, CEO
## Practice location
- **Address:** 415 MAIN ST, Summersville, WV 26651-1343
- **Phone:** (304) 872-1663 · **Fax:** (304) 872-8104
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Dentist) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 8, 2024
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1013590744) · Data from the CMS NPPES public registry.