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FAIRMONT FOOT CENTER NPI 1427228840


NPI Information

NPI: 1427228840
Provider Name: FAIRMONT FOOT CENTER
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
314 FAIRMONT AVE
FAIRMONT, WV
ZIP 26554
Phone: (304) 367-1111
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FAIRMONT FOOT CENTER is a prosthetic orthotic supplier in Fairmont, WV. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. FAIRMONT FOOT CENTER NPI is 1427228840. The provider is registered as an organization entity type.

The provider's business location address is:

314 FAIRMONT AVE
FAIRMONT, WV
ZIP 26554-713
Phone: (304) 367-1111
Fax: (304) 367-1128

The provider's authorized official is David Ferrero .
The authorized official title is Owner and has the following contact phone number (304) 367-1111.

The enumeration date for this NPI number is 3/3/2008 and was last updated on 9/6/2012.


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
1335E00000XProsthetic/Orthotic Supplier248WEST 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
1T91034MEDICARE UPINWEST VIRGINIA
20673583MEDICARE PINWEST VIRGINIA
30099603000MEDICAIDWEST 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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