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FAIRMONT GENERAL MDGRP NPI 1215117262


NPI Information

NPI: 1215117262
Provider Name: FAIRMONT GENERAL MDGRP
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1325 LOCUST AVE
FAIRMONT, WV
ZIP 26554
Phone: (304) 367-7100
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FAIRMONT GENERAL MDGRP is a specialist in Fairmont, WV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FAIRMONT GENERAL MDGRP NPI is 1215117262. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1325 LOCUST AVE
FAIRMONT, WV
ZIP 26554-435
Phone: (304) 367-7100
Fax: (304) 333-2617

The provider's authorized official is Michael J Sengewalt .
The authorized official title is Senior Vp And Cfo and has the following contact phone number (304) 367-7152.

The enumeration date for this NPI number is 11/7/2007 and was last updated on 11/7/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist9WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10001118003MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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