MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS INC (NPI# 1154424117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154424117 |
Entity Type | Organization |
Organization Name | MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS INC |
Other Organization Name | MVA HOSPICE OF MARION COUNTY |
Practice Address |
1322 Locust Ave Fairmont WV 26555-1112 |
Mailing Address |
Po Box 1112 1322 Locust Ave Fairmont WV 26555-1112 |
Practice Telephone | 3043660700 |
Practice Fax Number | 3043669529 |
Mailing Telephone | 3043660700 |
Mailing Fax Number | 3043669529 |
Enumeration Date | 2006-09-06 |
Last Update Date | 2008-04-29 |
Authorized Official Name | MS. NANCY L VANDERGRIFT (PRESIDENT) |
Authorized Official Telephone | 3043660700 |
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 | 251G00000X | Hospice Care, Community Based | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 0005588000 | 05 |
Other Name | Type Code |
---|---|
MVA Hospice of Marion County | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598868143 | Monongahela Valley Association of Health Centers Inc | Clinic/Center | 1 N Marion Dr, Farmington, WV 26571-9717 | 2006-09-07 |
1518060581 | Monongahela Valley Association of Health Centers Inc | Clinic/Center | 1993 Airport Rd, Fairmont, WV 26554-9138 | 2006-09-06 |
1538262597 | Monongahela Valley Association of Health Centers Inc | Clinic/Center | 1322 Locust Ave, Fairmont, WV 26555-1112 | 2006-09-06 |
1790888766 | Monongahela Valley Association of Health Centers Inc | Optometrist | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2006-09-06 |
1245333202 | Monongahela Valley Association of Health Centers Inc | Clinical Medical Laboratory | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2006-09-06 |
1063515021 | Monongahela Valley Association of Health Centers Inc | Case Management | 1322 Locust Ave, Fairmont, WV 26555-1112 | 2006-09-06 |
1316051816 | Monongahela Valley Association of Health Centers Inc | Home Health | 1322 Locust Ave, Fairmont, WV 26554 | 2006-08-19 |
Street Address |
1322 LOCUST AVE |
City | FAIRMONT |
State | WV |
Zip Code | 26555-1112 |
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 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528210689 | Task Force On Deomestic Violence, 'hope, Inc' | Case Manager/Care Coordinator | 411 Jackson Street, Fairmont, WV 26555 | 2008-10-21 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
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1093934242 | Dignity Hospice O Southern Wv | Hospice Care, Community Based | 3316 South Main Street, Chapmanville, WV 25508 | 2007-04-25 |
1205989894 | Potomac Valley Hospital of W Va, Inc | Hospice Care, Community Based | 433 S Mineral St, Keyser, WV 26726-2938 | 2007-01-19 |
1871686717 | Hospice of Southern West Virginia, Inc | Hospice Care, Community Based | 456 Cranberry Dr, Beckley, WV 25801-8560 | 2006-10-02 |
1093810822 | Community Hospices of America, LLC | Hospice Care, Community Based | 1330 Mercer St, Princeton, WV 24740-3066 | 2006-09-14 |
1659475812 | City of Sistersville | Hospice Care, Community Based | 314 South Wells Street, Sistersville, WV 26175 | 2006-09-11 |
1295793669 | Dignity Hospice of Southern West Virginia Inc. | Hospice Care, Community Based | 557 Main Street, Chapmanville, WV 25508 | 2006-05-03 |
1548253735 | Mountain Hospice Inc | Hospice Care, Community Based | 1002 S Crim Ave, Belington, WV 26250-8203 | 2005-08-24 |
1194722595 | Hospice Care Corporation | Hospice Care, Community Based | Highway 92 S, Arthurdale, WV 26520 | 2005-06-30 |
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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.