# MVA X-RAY FAIRMONT CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS, INC.
- **Other names:** Monongahela Valley Associaiton of Health Centers, Inc.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134222193
- **Legal business name:** MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS, INC.
- **Authorized official:** NANCY L VANDERGRIFT (PRESIDENT)
- **Authorized official phone:** (304) 367-8740

## Contact information

- **Practice address:** 1322 LOCUST AVE, FAIRMONT, WV 26554
- **Practice address phone:** (304) 366-0700
- **Practice address fax:** (304) 366-9529
- **Mailing address:** 1322 LOCUST AVE, PO BOX 1112, FAIRMONT, WV 26554
- **Mailing address phone:** (304) 366-0700
- **Mailing address fax:** (304) 366-9529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/06/2006
- **Last updated:** 08/11/2011