FAIRMONT MEDICAL GROUP, INC. (NPI# 1932345212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932345212 |
Entity Type | Organization |
Organization Name | FAIRMONT MEDICAL GROUP, INC. |
Other Organization Name | FAIRVIEW CLINIC |
Practice Address |
400 Main Street Fairview WV 26570 |
Mailing Address |
Po Box 1112 Fairmont WV 26555-1112 |
Practice Telephone | 3043678710 |
Practice Fax Number | 3043668529 |
Mailing Telephone | 3043678710 |
Mailing Fax Number | 3043668529 |
Enumeration Date | 2008-12-17 |
Last Update Date | 2008-12-17 |
Authorized Official Name | NANCY L. VANDERGRIFT (PRESIDENT) |
Authorized Official Telephone | 3043678740 |
Is Organization Subpart | Y |
Parent Organization Name | FAIRMONT MEDICAL GROUP, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
FAIRVIEW CLINIC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588800866 | Fairmont Medical Group, Inc. | Clinical Medical Laboratory | 1 Columbia Rd, Shinnston, WV 26431-1016 | 2008-12-17 |
1720224009 | Fairmont Medical Group, Inc. | Clinical Medical Laboratory | 400 Main Street, Fairview, WV 26570 | 2008-12-17 |
Street Address |
400 MAIN STREET |
City | FAIRVIEW |
State | WV |
Zip Code | 26570 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720224009 | Fairmont Medical Group, Inc. | Clinical Medical Laboratory | 400 Main Street, Fairview, WV 26570 | 2008-12-17 |
1932351954 | Monongahela Valley Association of Health Centers, Inc. | Clinical Medical Laboratory | 400 Main Street, Fairview, WV 26570 | 2008-10-22 |
1407034887 | Monongahela Valley Association of Health Center, Inc. | Clinic/Center | 400 Main Street, Fairview, WV 26570 | 2008-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033183710 | Fairview Volunteer Fire Company | Ambulance | 409 Main Street, Fairview, WV 26570 | 2006-02-17 |
1346851466 | Amber Lynn Vantassell | Technician | 97 Miracle Run Rd, Fairview, WV 26570-6049 | 2020-08-12 |
1336750256 | Ruby Jane Slamick | Technician | 4617 Daybrook Rd, Fairview, WV 26570-6118 | 2020-08-13 |
1801407184 | Janet Gail Michael | Technician | 2253 Daybrook Rd, Fairview, WV 26570-8600 | 2020-08-11 |
1861003147 | Steven Puhalla | Technician | 72 Yank Hollow Rd, Fairview, WV 26570-8673 | 2020-08-11 |
1154930907 | Cynthia Hamilton | Case Manager/Care Coordinator | 27 Yank Hollow Rd, Fairview, WV 26570-8674 | 2020-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154922094 | Leo Wilson | Technician | 403 Prospect Ave., Fairview, ND 59221 | 2020-11-06 |
1386243830 | Kevin Khoa Nguyen | Nurse Practitioner | 6028 Pine Valley Ln, Fairview, PA 16415-3272 | 2020-10-25 |
1649879719 | Rachel Elaine Thorpe | Behavior Technician | 6011 Pebble Creek Dr, Fairview, PA 16415-3263 | 2020-10-20 |
1609473172 | Amy Marie Errichetti | Nurse Practitioner | 1349 Upper Brush Creek Rd, Fairview, NC 28730-9217 | 2020-10-07 |
1588278113 | Brigitte Sullivan | Social Worker | 310 Grace Ave, Fairview, PA 16415-1445 | 2020-09-01 |
1033733589 | Jennifer Renee Ramm | Nurse Practitioner | 1320 Mulberry Ln, Fairview, PA 16415-1562 | 2020-06-01 |
1497377642 | Patrick Green | Student in an Organized Health Care Education/Training Program | 371 Oakwood Trl, Fairview, TX 75069-8722 | 2020-05-11 |
1346861796 | Delissa Leann Jantz | Case Manager/Care Coordinator | 1425 N Main St Ste 1, Fairview, OK 73737-2703 | 2020-04-27 |
1013547314 | Annali Goette | Spec/Tech, Cardiovascular | 305 Murray Farm Dr Apt 428, Fairview, TX 75069-6907 | 2020-01-25 |
1649810821 | John P Meehan | Counselor | 21139 Lorain Rd 12, Fairview, OH 44126 | 2020-01-15 |
Find all providers in FAIRVIEW |
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 |
---|---|---|---|---|
1114481561 | Wellcare Family Clinic, Inc. | Clinic/Center | 321 Palo Duro Dr, Fairview, TX 75069-1286 | 2019-01-29 |
1285037416 | Fairview Regional Medical Center | Clinic/Center | 519 E State Rd, Fairview, OK 73737-1458 | 2014-10-02 |
1407034887 | Monongahela Valley Association of Health Center, Inc. | Clinic/Center | 400 Main Street, Fairview, WV 26570 | 2008-02-07 |
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 |
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.