| Family Service Of Marion & Harrison Counties Inc | |
|
1313 Locust Ave Ste 1 Fairmont WV 26554-1517 | |
| (304) 366-4750 | |
| (304) 366-4753 |
| Full Name | Family Service Of Marion & Harrison Counties Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1313 Locust Ave Ste 1, Fairmont, West Virginia |
| Authorized Official Name and Position | Carolyn Jones (DIRECTOR) |
| Authorized Official Contact | 3046994750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Of Marion & Harrison Counties Inc 1313 Locust Ave Ste 1 Fairmont WV 26554-1517 Ph: (304) 366-4750 | Family Service Of Marion & Harrison Counties Inc 1313 Locust Ave Ste 1 Fairmont WV 26554-1517 Ph: (304) 366-4750 |
| NPI Number | 1215295688 |
|---|---|
| Provider Enumeration Date | 04/24/2012 |
| Last Update Date | 05/06/2022 |
| Certification Date | 05/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215295688 | NPI | - | NPPES |
| 1679831044 | Medicaid | WV | |
| 1942568316 | Medicaid | WV | |
| 1215295688 | Medicaid | WV | |
| 1356455091 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 129 (West Virginia) | Primary |
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