CENTRAL WV COMMUNITY HEALTH CENTER
NPI 1558340414
Clinic/Center - Federally Qualified Health Center (FQHC) in Summersville, WV

Active since January 10, 2006
55 FRIENDS R FUN DR, SUMMERSVILLE, WV 26651(304) 872-1663(304) 872-1804 Get Directions Write a Review

NPPES record last updated: November 18, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Central Wv Community Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL WV COMMUNITY HEALTH CENTER (NPI 1558340414) is a healthcare organization registered as a federally qualified health center (fqhc) in Summersville, West Virginia and active in the NPI registry since January 2006. The organization lists Judith Lynn Hamrick, Administrator, as its authorized official.

NPPES Registry Identity

NPI1558340414
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCAMDEN ON GAULEY MEDICAL CENTER INC
Location Address55 FRIENDS R FUN DRSummersville, WV 26651-9514
Mailing AddressPo Box 69Camden On Gauley, WV 26208-0069 · (304) 226-5725 · Fax (304) 226-3274
Fax(304) 872-1804
Organization SubpartNo
Authorized OfficialJudith Lynn HamrickAdministrator · (304) 226-5725
Enumeration DateJanuary 10, 2006
Last NPPES UpdateNovember 18, 2010
✔ NPI 1558340414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
55 FRIENDS R FUN DR, Summersville, WV 26651

Other Names 1

Doing Business AsCentral Wv Community Health Center

Other Identifiers 12

Medicare PIN5118271WV
Other5197060WV · Aetna
Medicaid3810014298WV
Medicare PIN5118971WV
Medicaid0035222000WV
Medicare PIND518361WV
Other001709708WV · Ms Bcbs
Medicare OSCAR/certification511897WV
Medicare OSCAR/certification511941WV
Medicare PIN5119411WV
OtherCC5506WV · Rr Medicare
Medicare OSCAR/certification511827WV

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Central Wv Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWest VirginiaEnrollment IDO20050209000321Non-DME Part B · Public Health/Welfare AgencyDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

41

Medicare enrollment records show 41 clinicians reassign Medicare billing to Central Wv Community Health Center, which bills Medicare for the services they deliver. Of these, 11 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner27
Family Practice7
Clinical Social Worker2
Certified Nurse Midwife (CNM)1
Dentist1
General Practice1
Mental Health Counselor1
Pediatric Medicine1

Nearest to this location (20)

See all 41
Family Practice
NPI 1154312452
415 MAIN ST
Summersville, WV 26651
(304) 872-1663
✔ PECOS✔ Accepts Medicare3.2 mi
Mental Health Counselor
NPI 1659894509
415 MAIN ST
Summersville, WV 26651
(304) 872-1663
✔ PECOS3.2 mi
Family Practice
NPI 1083829402
415 MAIN ST
Summersville, WV 26651
(304) 872-1663
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1205183357
415 MAIN ST
Summersville, WV 26651
(304) 872-1663
✔ PECOS3.2 mi
General Practice
NPI 1295824365
415 MAIN ST
Summersville, WV 26651
(304) 872-5500
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1437540374
415 MAIN ST
Summersville, WV 26651
(304) 226-5725
✔ PECOS3.2 mi
Clinical Social Worker
NPI 1376790170
415 MAIN ST
Summersville, WV 26651
(304) 872-1663
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1609401520
415 MAIN ST
Summersville, WV 26651
(304) 872-1663
✔ PECOS✔ Accepts Medicare3.2 mi
Dentist
NPI 1861049686
16414 WEBSTER RD
Craigsville, WV 26205
(304) 742-3004
✔ PECOS7.7 mi
Family Practice
NPI 1316929227
46 RED OAK DR
Craigsville, WV 26205
(304) 742-5999
✔ PECOS✔ Accepts Medicare8.7 mi
Nurse Practitioner
NPI 1417209784
110 PANTHER CREEK ROAD
Nettie, WV 26681
(304) 846-2484
✔ PECOS✔ Accepts Medicare9.6 mi
Nurse Practitioner
NPI 1730417700
10003 WEBSTER RD
Camden On Gauley, WV 26208
(304) 226-5725
✔ PECOS✔ Accepts Medicare12 mi
Family Practice
NPI 1295179539
10003 WEBSTER RD
Camden On Gauley, WV 26208
(304) 226-5725
✔ PECOS✔ Accepts Medicare12 mi
Pediatric Medicine
NPI 1932163722
10003 WEBSTER RD
Camden On Gauley, WV 26208
(304) 226-5725
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1922468529
10003 WEBSTER RD
Camden On Gauley, WV 26208
(304) 226-5725
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1134184211
10003 WEBSTER ROAD
Camden On Gauley, WV 26208
(304) 226-5725
✔ PECOS12 mi
Nurse Practitioner
NPI 1033519558
10003 WEBSTER RD
Camden On Gauley, WV 26208
(304) 226-5725
✔ PECOS✔ Accepts Medicare12 mi
Certified Nurse Midwife (CNM)
NPI 1083015184
10003 WEBSTER RD
Camden On Gauley, WV 26208
(304) 226-5725
✔ PECOS✔ Accepts Medicare12 mi
Family Practice
NPI 1568661064
10003 WEBSTER ROAD
Camden-on-gauley, WV 26208
(304) 226-5725
✔ PECOS✔ Accepts Medicare12 mi
Clinical Social Worker
NPI 1457245227
101 FLORENCE ST
Ansted, WV 25812
(304) 658-6007
✔ PECOS20 mi
See all 41 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 1558340414. It was assigned to this organization in the NPPES registry on January 10, 2006. The provider is doing business as Central Wv Community Health Center.

Where is Camden On Gauley Medical Center Inc located?

Camden On Gauley Medical Center Inc is located at 55 Friends R Fun Dr, 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.

When is Camden On Gauley Medical Center Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (West Virginia, Public Health/Welfare Agency) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Camden On Gauley Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 41 clinicians in 8 Medicare specialties 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. The largest specialties are Nurse Practitioner (27), Family Practice (7) and Clinical Social Worker (2). Of these, 11 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Camden On Gauley Medical Center Inc was last updated on November 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.