MANCHIN CLINIC SOUTH (NPI# 1538309471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538309471 |
Entity Type | Organization |
Organization Name | MANCHIN CLINIC SOUTH |
Practice Address |
181 Middletown Cir Fairmont WV 26554-2015 |
Practice Telephone | 3043679170 |
Practice Fax Number | 3043679180 |
Mailing Telephone | 3043679170 |
Mailing Fax Number | 3043679180 |
Enumeration Date | 2009-03-05 |
Last Update Date | 2009-03-05 |
Authorized Official Name | JOHN MANCHIN (PARTNER) |
Authorized Official Telephone | 3043671970 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Street Address |
181 MIDDLETOWN CIR |
City | FAIRMONT |
State | WV |
Zip Code | 26554-2015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689849804 | John Manchin IIi | Pharmacy | 181 Middletown Cir, Fairmont, WV 26554-2015 | 2008-04-29 |
1386131050 | Med-mart Pharmacy LLC | Pharmacy | 181 Middletown Cir, Fairmont, WV 26554-2015 | 2018-04-18 |
1386974947 | Brandi Asterino Powell | Social Worker | 181 Middletown Cir, Fairmont, WV 26554-2015 | 2010-01-05 |
1386800126 | Christina Michelle Manchin | Physician Assistant | 181 Middletown Cir, Fairmont, WV 26554-2015 | 2008-07-31 |
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 | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265605208 | Manchin Clinic South, LLC | Clinic/Center | 181 Middletown Circle, Fairmont, WV 26554 | 2008-04-10 |
1871763938 | Mva Fairmont Clinic | Clinic/Center | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2008-03-05 |
1770697278 | Monongahela Valley Association of Health Center Inc | Clinic/Center | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2006-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164029401 | Christopher Martin | Clinic/Center | 143 Trump Ave, Oak Hill, WV 25901-2424 | 2020-10-08 |
1043817471 | Walls Wellness Center, LLC | Clinic/Center | 27 Spice Creek Road, Verner, WV 25650-2565 | 2020-10-08 |
1457985715 | Pocahontas Memorial Hospital | Clinic/Center | 10 Snowshoe Dr, Snowshoe, WV 26209-1700 | 2020-02-26 |
1033694732 | Usimc of West Virginia Medical Corporation | Clinic/Center | 2203 5th Street Rd, Huntington, WV 25701-9311 | 2018-09-27 |
1134616626 | Joan E Strawson, LLC | Clinic/Center | 1298 W Washington St, Harpers Ferry, WV 25425-6300 | 2018-04-19 |
1952815268 | Rainelle Medical Center, Inc. | Clinic/Center | Po Box 89, Hico, WV 25854-0089 | 2017-11-22 |
1942719778 | West Virginia Neurodiagnostics, LLC | Clinic/Center | 1399 Stewartstown Rd Ste 240, Morgantown, WV 26505-3487 | 2017-09-25 |
1386160497 | Stats and Strides Therapeutic Equine Center | Clinic/Center | 519 New Quarter Rd, Meadowbrook, WV 26404 | 2017-08-21 |
1013456094 | New Beginnings Drug Treatment Center, Inc. | Clinic/Center | 4855 Maccorkle Ave Sw, South Charleston, WV 25309-1331 | 2017-02-23 |
1629520598 | New River Health Association, Inc | Clinic/Center | 269 Martin Lane, Mount Hope, WV 25880 | 2016-10-26 |
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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.