Organization
MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTER, INC.
Active
Organization
MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTER, INC.
Active
Other names
MVA West Fairmont Middle School Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY L VANDERGRIFT (PRESIDENT)
(304) 367-8740
Entity
Organization
Contact information
Practice address
110 10TH ST, FAIRMONT, WV 26554-3607
(304) 366-5631
(304) 367-8766
Mailing address
PO BOX 1112, FAIRMONT, WV 26555-1112
(304) 366-5631
(304) 367-8766
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
1034-6686
WV
Other
Enumeration date
08/06/2018
Last updated
03/22/2022
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