MVA X-RAY FAIRMONT CLINIC (NPI# 1134222193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134222193 |
| Entity Type | Organization |
| Organization Name | MVA X-RAY FAIRMONT CLINIC |
| Other Organization Name | MONONGAHELA VALLEY ASSOCIAITON OF HEALTH CENTERS, INC. |
| Practice Address |
1322 Locust Ave Fairmont WV 26554 |
| Mailing Address |
1322 Locust Ave Po Box 1112 Fairmont WV 26554 |
| Practice Telephone | 3043660700 |
| Practice Fax Number | 3043669529 |
| Mailing Telephone | 3043660700 |
| Mailing Fax Number | 3043669529 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2011-08-11 |
| Authorized Official Name | NANCY L VANDERGRIFT (PRESIDENT) |
| Authorized Official Telephone | 3043678740 |
| Is Organization Subpart | Y |
| Parent Organization Name | MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Monongahela Valley Associaiton of Health Centers, Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831491042 | Mva X-ray Fairmont Clinic | Clinic/Center | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2010-11-19 |
| Street Address |
1322 LOCUST AVE |
| City | FAIRMONT |
| State | WV |
| Zip Code | 26554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104887405 | Rubina K Dasilva | Physician Assistant | 1322 Locust Ave, Fairmont, WV 26554 | 2006-03-28 |
| 1639790389 | Melissa Kay Spring | Nurse Practitioner | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2020-05-05 |
| 1710459557 | Miranda Jean Riggs | Nurse Practitioner | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2018-12-18 |
| 1336618990 | Mark Elliott Morris | Pharmacist | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2018-11-13 |
| 1598217218 | Andrea King | Nurse Practitioner | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2016-10-28 |
| 1821549833 | Ravi Chandra Devabhakthuni | Physician Assistant | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2016-10-14 |
| 1225489438 | Jessica Lynn Taylor | Nurse Practitioner | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2016-06-29 |
| 1518328707 | Gary Michael White | Social Worker | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2016-03-15 |
| 1720465909 | Srividhya Sridharan | Pediatrics | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2015-04-27 |
| 1629465786 | Michelle Wakeley | Social Worker | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2015-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497680 | Vanquisha Clay | Technician | 118 Conaway St, Fairmont, WV 26554 | 2020-11-06 |
| 1851903363 | Denise S Greer | Technician | 1029 Prickett Road, Fairmont, WV 26554 | 2020-08-18 |
| 1730790775 | Darla Lee Mcrobie | Technician | 105 C'anna Square, Fairmont, WV 26554 | 2020-08-13 |
| 1376025718 | Jason Batten | Counselor | 621 Maryland Ave, Fairmont, WV 26554 | 2018-09-02 |
| 1437669066 | Ultimate Health & Wellness, LLC | Naturopath | 2862 Whitehall Blvd, Whitehall, WV 26554 | 2017-10-10 |
| 1457872376 | Michele R Lilley | Nurse Practitioner | 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 | 2017-06-30 |
| 1477906154 | Rebecca Hayes-merrill | Counselor | 212 Adams St., 3rd Floor, Fairmont, WV 26554 | 2016-07-19 |
| 1790173417 | Dennis Michael Lynch | Counselor | 5 Turf Lane, Fairmont, WV 26554 | 2015-01-05 |
| 1336558725 | Nicole Savage | Home Health Aide | 122 Abbott St, Fairmont, WV 26554 | 2014-08-11 |
| 1124434550 | Achuta Ram Aynampudi | Psychiatry & Neurology | 100 Stoney Hill Rd, Fairmont, WV 26554 | 2014-07-07 |
| Find all providers in zip 26554 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831491042 | Mva X-ray Fairmont Clinic | Clinic/Center | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2010-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053693697 | Charleston Area Medical Center, Inc. | Clinic/Center | 3100 Maccorkle Ave Se Ste 808, Charleston, WV 25304-1233 | 2011-09-09 |
| 1871734558 | Medical Sonoimaging, LLC | Clinic/Center | 250 Eureka Rd, Charleston, WV 25314-2126 | 2009-03-10 |
| 1255777595 | Gilbert Ultrasound Services LLC | Clinic/Center | 202 Larry Joe Harless Drive, Suite 207, Gilbert, WV 25621 | 2013-05-14 |
| 1659647931 | P and P Health Services, Inc | Clinic/Center | Rr 4 Box 19, Cameron, WV 26033-9520 | 2012-03-30 |
| 1033482443 | Charleston Area Medical Center, Inc. | Clinic/Center | 3100 Maccorkle Ave Se Ste 808, Charleston, WV 25304-1233 | 2012-02-15 |
| 1730332560 | P and P Health Services, Inc | Clinic/Center | 1612 Wheeling Ave, Glen Dale, WV 26038-1734 | 2008-10-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.