Organization
MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS, INC
Active
Other names
MVA Fairmont Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL RAYMOND ALVAREZ (CEO)
(304) 367-8740
Entity
Organization
Contact information
Practice address
1322 LOCUST AVE, FAIRMONT, WV 26554-1436
(304) 366-0700
(304) 366-9529
Mailing address
1322 LOCUST AVE, PO BOX 1112, FAIRMONT, WV 26554-1436
(304) 366-0700
(304) 366-9529
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035167000
—
WV
Enumeration date
08/19/2006
Last updated
01/30/2026
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