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MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTER INC. NPI 1609979673


NPI Information

NPI: 1609979673
Provider Name: MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTER, INC.

Doing Business As: MVA FAIRMONT CLINIC PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
1322 LOCUST AVE
FAIRMONT, WV
ZIP 26554
Phone: (304) 366-0700
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MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTER, INC. is a clinic pharmacy pharmacy in Fairmont, WV. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTER, INC. NPI is 1609979673. The provider is registered as an organization entity type.
The provider Is Doing Business As Mva Fairmont Clinic Pharmacy.

The provider's business location address is:

1322 LOCUST AVE
FAIRMONT, WV
ZIP 26554-436
Phone: (304) 366-0700
Fax: (304) 366-9529

The provider's authorized official is Nancy L Vandergrift .
The authorized official title is President and has the following contact phone number (304) 366-0700.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 8/12/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0002XPharmacyClinic PharmacySP0550384WEST 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
10035167007MEDICAIDWEST 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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