MVA FAIRMONT CLINIC NPI 1871763938

NPI Information

MVA FAIRMONT CLINIC is a clinic center in Fairmont, WV. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MVA FAIRMONT CLINIC NPI is 1871763938. The provider is registered as an organization entity type.

The provider's business location address is:

1322 LOCUST AVE
FAIRMONT, WV
ZIP 26554-436
Phone: (304) 367-8740
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) 367-8740.

The enumeration date for this NPI number is 3/5/2008 and was last updated on 6/5/2019.

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:

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