| Mva Fairmont Clinic | |
|
1322 Locust Ave Fairmont WV 26554-1436 | |
| (304) 366-0700 | |
| (304) 366-9529 |
| Full Name | Mva Fairmont Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1322 Locust Ave, Fairmont, West Virginia |
| Authorized Official Name and Position | Nancy L Vandergrift (PRESIDENT) |
| Authorized Official Contact | 3043660700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mva Fairmont Clinic 1322 Locust Ave Po Box 1112 Fairmont WV 26554-1436 Ph: (304) 366-0700 | Mva Fairmont Clinic 1322 Locust Ave Fairmont WV 26554-1436 Ph: (304) 366-0700 |
| NPI Number | 1770697278 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 06/05/2019 |
| Medicare PECOS PAC ID | 6800991977 |
|---|---|
| Medicare Enrollment ID | O20070418000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770697278 | NPI | - | NPPES |
| 0035167000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Marion County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 2nd St, Fairmont, WV 26554 Phone: 304-366-3360 Fax: 304-363-8217 | |
Hilsbos Family Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5 Erwin Ln Ste B, Fairmont, WV 26554 Phone: 304-612-9186 Fax: 304-366-7763 | |
Anjaneyulu Thagirisa, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1539 Country Club Rd, Fairmont, WV 26554 Phone: 304-367-0043 | |
Fairmont Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1322 Locust Ave, Fairmont, WV 26554 Phone: 304-366-0700 Fax: 304-366-9529 | |
Manchin Clinic South, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 181 Middletown Circle, Fairmont, WV 26554 Phone: 304-367-9170 Fax: 304-367-9180 | |
Fairmont State University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Locust Ave Fl 3, Fairmont, WV 26554 Phone: 304-367-4155 | |
Mohamad Arja Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Gaston Ave, Fairmont, WV 26554 Phone: 304-367-0012 Fax: 304-366-1092 |