| Fairview Health Associates Inc | |
|
350 Fairview Heights Rd Summersville WV 26651-1085 | |
| (304) 872-5090 | |
| (304) 872-0636 |
| Full Name | Fairview Health Associates Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 350 Fairview Heights Rd, Summersville, West Virginia |
| Authorized Official Name and Position | John Stephen Shank (PRESIDENT) |
| Authorized Official Contact | 3048725090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairview Health Associates Inc Po Box 1029 Summersville WV 26651-0139 Ph: (304) 872-5090 | Fairview Health Associates Inc 350 Fairview Heights Rd Summersville WV 26651-1085 Ph: (304) 872-5090 |
| NPI Number | 1336137702 |
|---|---|
| Provider Enumeration Date | 10/11/2005 |
| Last Update Date | 03/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336137702 | NPI | - | NPPES |
| 0202164000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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