FAIRMONT STATE UNIVERSITY NPI 1326625252

NPI Information

NPI: 1326625252
Provider Name: FAIRMONT STATE UNIVERSITY
Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

CLIA Number: 51D2111591

Address:
1201 LOCUST AVE FL 3
FAIRMONT, WV
ZIP 26554
Phone: (304) 367-4155
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FAIRMONT STATE UNIVERSITY is a student health clinic center in Fairmont, WV. FAIRMONT STATE UNIVERSITY NPI is 1326625252. The provider is registered as an organization entity type.

The provider's business location address is:

1201 LOCUST AVE FL 3
FAIRMONT, WV
ZIP 26554-451
Phone: (304) 367-4155

The provider's authorized official is Mirta Martin .
The authorized official title is President and has the following contact phone number (304) 367-4151.

The CLIA number assigned to this NPI record is 51D2111591 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2021 and was last updated on 3/26/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS1000X	Clinic/Center	Student Health			Yes

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

NPI Synchronization or Removal

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