| Fairmont General Hospital, Inc. | |
|
1325 Locust Ave Fairmont WV 26554-1435 | |
| (304) 367-7100 | |
| (304) 333-3617 |
| Full Name | Fairmont General Hospital, Inc. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1325 Locust Ave, Fairmont, West Virginia |
| Authorized Official Name and Position | Whitney Patterson (CFO / VP OF FINANCE) |
| Authorized Official Contact | 3043677109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairmont General Hospital, Inc. 1325 Locust Ave Fairmont WV 26554-1435 Ph: (304) 367-7100 | Fairmont General Hospital, Inc. 1325 Locust Ave Fairmont WV 26554-1435 Ph: (304) 367-7100 |
| NPI Number | 1538243738 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 05/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538243738 | NPI | - | NPPES |
| 0001118001 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 09 (West Virginia) | Primary |
| 276400000X | Rehabilitation, Substance Use Disorder Unit | 09 (West Virginia) | Secondary |
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