| Wvdhhr John Manchin Sr Health Care Center | |
|
401 Guffey Street Fairmont WV 26554 | |
| (304) 363-2500 | |
| (304) 363-0263 |
| Full Name | Wvdhhr John Manchin Sr Health Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 401 Guffey Street, Fairmont, West Virginia |
| Authorized Official Name and Position | Carol D Merrill (CEO ADMINISTRATOR) |
| Authorized Official Contact | 3043632500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wvdhhr John Manchin Sr Health Care Center 401 Guffey Street Fairmont WV 26554 Ph: (304) 363-2500 | Wvdhhr John Manchin Sr Health Care Center 401 Guffey Street Fairmont WV 26554 Ph: (304) 363-2500 |
| NPI Number | 1417963000 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 12/04/2007 |
| Medicare PECOS PAC ID | 2466444518 |
|---|---|
| Medicare Enrollment ID | O20040331000392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417963000 | NPI | - | NPPES |
| C13880 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 313M00000X | Nursing Facility/intermediate Care Facility | (* (Not Available)) | Secondary |
| Provider Name | James S Namsupak |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1043486145 PECOS PAC ID: 2264568971 Enrollment ID: I20100406000552 |
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 |