| Mva West Fairmont Middle School Wellness Center | |
|
110 10th St Fairmont WV 26554-3607 | |
| (304) 366-5631 | |
| (304) 367-8766 |
| Full Name | Mva West Fairmont Middle School Wellness Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 110 10th St, Fairmont, 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 West Fairmont Middle School Wellness Center Po Box 1112 Fairmont WV 26555-1112 Ph: (304) 366-5631 | Mva West Fairmont Middle School Wellness Center 110 10th St Fairmont WV 26554-3607 Ph: (304) 366-5631 |
| NPI Number | 1740768357 |
|---|---|
| Provider Enumeration Date | 08/06/2018 |
| Last Update Date | 03/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740768357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 1034-6686 (West Virginia) | Primary |
Alignmed Medical Group Wv, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1543 Country Club Rd, Fairmont, WV 26554 Phone: 304-363-2273 | |
Marion County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 2nd St, Fairmont, WV 26554 Phone: 304-366-3360 Fax: 304-363-8217 | |
Hilsbos Family Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5 Erwin Ln Ste B, Fairmont, WV 26554 Phone: 304-612-9186 Fax: 304-366-7763 | |
Anjaneyulu Thagirisa, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1539 Country Club Rd, Fairmont, WV 26554 Phone: 304-367-0043 | |
Fairmont Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1322 Locust Ave, Fairmont, WV 26554 Phone: 304-366-0700 Fax: 304-366-9529 | |
Fairmont State University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Locust Ave Fl 3, Fairmont, WV 26554 Phone: 304-367-4155 | |
Mohamad Arja Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Gaston Ave, Fairmont, WV 26554 Phone: 304-367-0012 Fax: 304-366-1092 |