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FAYETTE CLINIC PLLC NPI 1851580468


NPI Information

NPI: 1851580468
Provider Name: FAYETTE CLINIC, PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1 PHYSICIANS PLAZA
LOCHGELLY, WV
ZIP 25866
Phone: (304) 469-3334
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FAYETTE CLINIC, PLLC is a family medicine in Lochgelly, WV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAYETTE CLINIC, PLLC NPI is 1851580468. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1 PHYSICIANS PLAZA
LOCHGELLY, WV
ZIP 25866
Phone: (304) 469-3334

The provider's authorized official is Darlene Newell .
The authorized official title is Office Manager and has the following contact phone number (304) 469-3334.

The enumeration date for this NPI number is 10/19/2007 and was last updated on 6/5/2008.


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
1363L00000XNurse PractitionerWEST VIRGINIANo
2207Q00000XFamily MedicineWEST 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
10206041003MEDICAIDWEST VIRGINIA
2513906OTHERWEST VIRGINIARURAL HEALTH PROVIDER #
3200164OTHERWEST VIRGINIAFEDERAL BLACK LUNG
4001708474OTHERWEST VIRGINIABC/BS
50206041000MEDICAIDWEST VIRGINIA
69320581MEDICARE PINWEST VIRGINIA
7513906MEDICARE OSCAR/CERTIFICATIONWEST 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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