MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS INC. (NPI# 1609979673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609979673 |
| Entity Type | Organization |
| Organization Name | MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS INC. |
| Other Organization Name | MVA FAIRMONT CLINIC PHARMACY |
| Practice Address |
1322 Locust Ave Fairmont WV 26554-1436 |
| 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 | 2012-11-15 |
| Authorized Official Name | MS. NANCY L VANDERGRIFT (PRESIDENT) |
| Authorized Official Telephone | 3043660700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
SP0550384 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0035167007 | 05 |
| Other Name | Type Code |
|---|---|
| MVA Fairmont Clinic Pharmacy | Doing Business As Name - Organization |
| Street Address |
1322 LOCUST AVE |
| City | FAIRMONT |
| State | WV |
| Zip Code | 26554-1436 |
| 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 | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356732192 | Wirt County Health Svc Assoc Inc | Pharmacy | 512 Church St S, Ripley, WV 25271-1616 | 2015-02-16 |
| 1609194505 | New River Health Association, Inc. | Pharmacy | 302 W. Main St, Sophia, WV 25921 | 2010-05-17 |
| 1487889010 | Community Health Systems Inc | Pharmacy | 131 Mellon St, Beckley, WV 25801 | 2009-05-27 |
| 1962698118 | Community Health Sytems, Inc | Pharmacy | 7127 Harper Rd, Glen Daniel, WV 25844 | 2007-09-21 |
| 1265592679 | Wv Rural Health Care Partnership | Pharmacy | State Route 79 Cabin Creek Road, Dawes, WV 25054-0070 | 2006-12-08 |
| 1912090135 | Wirt County Health Svc Assoc Inc | Pharmacy | 606 Washington St, Ravenswood, WV 26164-1730 | 2006-10-02 |
| 1386682540 | Community Health Systems Inc | Pharmacy | 252 Rural Acres Dr, Beckley, WV 25801-3503 | 2006-06-02 |
| 1679073779 | Boone Memorial Hospital, Inc | Pharmacy | 697 Madison Avenue, Suite B, Madison, WV 25130-2513 | 2018-02-15 |
| 1659762466 | Shenandoah Pharmacy, LLC | Pharmacy | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2015-02-16 |
| 1558796326 | Ebenezer Medical Outreach Inc | Pharmacy | 1448 10th Ave, Huntington, WV 25701-3581 | 2013-09-11 |
| Find all providers with the same taxonomy | ||||
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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.