MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS INC (NPI# 1538262597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538262597 |
Entity Type | Organization |
Organization Name | MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS INC |
Other Organization Name | MVA PHYSICAL THERAPY SERVICES |
Practice Address |
1322 Locust Ave Fairmont WV 26555-1112 |
Mailing Address |
1322 Locust Ave Po Box 1112 Fairmont WV 26554-1436 |
Practice Telephone | 3043660700 |
Practice Fax Number | 3043669529 |
Mailing Telephone | 3043660700 |
Mailing Fax Number | 3043669529 |
Enumeration Date | 2006-09-06 |
Last Update Date | 2011-08-12 |
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 | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 0156077001 | 05 |
Other Name | Type Code |
---|---|
MVA Physical Therapy Services | 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 |
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 |
1154424117 | Monongahela Valley Association of Health Centers Inc | Hospice Care, Community Based | 1322 Locust Ave, Fairmont, WV 26555-1112 | 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 | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770792509 | Baby Step, LLC | Clinic/Center | 1 Hidden Trails Estate, Fairmont, WV 26554 | 2007-05-21 |
1083668875 | Mountain State Physical Therapy LLC | Clinic/Center | 719 Fairmont Ave, Suite 102, Fairmont, WV 26554-5118 | 2006-05-19 |
1992314280 | Mountain River Physical Therapy, LLC | Clinic/Center | 1900 Locust Ave Ste A, Fairmont, WV 26554-1293 | 2020-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811594757 | Mountain River Physical Therapy, LLC | Clinic/Center | 108 Osprey Drive, Suite B, Williamstown, WV 26187 | 2020-10-05 |
1376140210 | Mountain River Physical Therapy, LLC | Clinic/Center | 415 36th St Ste 100, Parkersburg, WV 26101-1005 | 2020-10-05 |
1497362867 | Pelvic Health Physical Therapy of Morgantown, LLC | Clinic/Center | 6000 Coombs Farm Rd Ste 106, Morgantown, WV 26508-1155 | 2020-09-29 |
1972136786 | Pocahontas Memorial Hospital | Clinic/Center | 16023 Cass Rd, Cass, WV 24927-9136 | 2020-02-20 |
1124667613 | Move Right Performance Therapy | Clinic/Center | 330 Scott Ave, Morgantown, WV 26508-0023 | 2019-12-31 |
1932744240 | Mountain River Physical Therapy, LLC | Clinic/Center | 483 Court St Ste 1, Elizabeth, WV 26143-1109 | 2019-11-11 |
1114562428 | Mountain River Physical Therapy, LLC | Clinic/Center | 606 Washington St Ste 1, Ravenswood, WV 26164-1730 | 2019-11-11 |
1508408881 | Jimmie Tyler Beirne | Clinic/Center | 4011 Feely Ln, Ona, WV 25545-9762 | 2019-10-08 |
1548801798 | Lenzie Weicht | Clinic/Center | 5724 Hammonds Mill Rd Ste G, Martinsburg, WV 25404-6491 | 2019-09-30 |
1477107183 | First Settlement Physical Therapy | Clinic/Center | 2909c 7th St, Parkersburg, WV 26101-3808 | 2019-07-31 |
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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.