Organization
FAIRMONT HOME EQUIPMENT & SUPPLY COMPANY
Active
Other names
Mon Health Equipment & Supplies - Fairmont, Fairmont Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE LYNN LANCASTER (EXECUTIVE DIRECTOR)
(304) 282-2700
Entity
Organization
Contact information
Practice address
600 BUSINESS PARK DR, MORGANTOWN, WV 26505-1124
(304) 285-2700
(304) 285-2704
Mailing address
PO BOX 580, MORGANTOWN, WV 26507-0580
(304) 285-2700
(304) 285-2704
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9100036000
—
WV
Enumeration date
06/16/2005
Last updated
06/23/2021
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