Organization
MVA FAIRMONT CLINIC
Active
Parent organization
MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTER INC
Authorized official
MS. NANCY L VANDERGRIFT (PRESIDENT)
(304) 367-8740
Entity
Organization
Contact information
Practice address
1322 LOCUST AVE, FAIRMONT, WV 26554-1436
(304) 367-8740
(304) 366-9529
Mailing address
1322 LOCUST AVE, FAIRMONT, WV 26554-1436
(304) 367-8740
(304) 366-9529
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2008
Last updated
06/05/2019
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