| Mva Fairview Clinic | |
|
400 Main Street Fairview WV 26570 | |
| (304) 367-8710 | |
| (304) 366-9529 |
| Full Name | Mva Fairview Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 400 Main Street, Fairview, West Virginia |
| Authorized Official Name and Position | Nancy L Vandergrift (PRESIDENT) |
| Authorized Official Contact | 3043678740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mva Fairview Clinic 1322 Locust Ave P O Box 1112 Fairmont WV 26554-1436 Ph: (304) 367-8710 | Mva Fairview Clinic 400 Main Street Fairview WV 26570 Ph: (304) 367-8710 |
| NPI Number | 1407034887 |
|---|---|
| Provider Enumeration Date | 02/07/2008 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407034887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Fairview Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Main Street, Fairview, WV 26570 Phone: 304-367-8710 Fax: 304-366-8529 |