Organization
MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY LOUISE VANDERGRIFT (PRESIDENT)
(304) 367-8743
Entity
Organization
Contact information
Practice address
1322 LOCUST AVE, FAIRMONT, WV 26554-1436
(304) 366-0700
Mailing address
1322 LOCUST AVE, FAIRMONT, WV 26554-1436
(304) 366-0700
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
1034-6686
WV
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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