# FAIRVIEW HEALTH ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336137702
- **Authorized official:** JOHN STEPHEN SHANK MD (PRESIDENT)
- **Authorized official phone:** (304) 872-5090

## Contact information

- **Practice address:** 350 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651-1085
- **Practice address phone:** (304) 872-5090
- **Practice address fax:** (304) 872-0636
- **Mailing address:** PO BOX 1029, SUMMERSVILLE, WV 26651-0139
- **Mailing address phone:** (304) 872-5090
- **Mailing address fax:** (304) 872-0636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2005
- **Last updated:** 03/27/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0202164000 | — | WV |