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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