FAIRMONT MEDICAL GROUP, INC.


Address: 400 Main Street, Fairview, WV 26570
Phone: 3043678710

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).

Provider Overview

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.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
FAIRVIEW CLINIC Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 400 MAIN STREET
City FAIRVIEW
State WV
Zip Code 26570

Providers in the same location

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

Providers in the same zip code

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

Providers in the same city

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
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City FAIRVIEW
Zip Code 26570

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Dataset Information

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.

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