Organization
FMRS HEALTH SYSTEMS INC
Active
Other names
FMRS Mental Health Council Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MARY M REDMAN (CHIEF FINANCIAL OFFICER)
(304) 256-7100
Entity
Organization
Contact information
Practice address
101 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 256-7100
(304) 256-7160
Mailing address
101 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 256-7100
(304) 256-7160
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
8
WV
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
8
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005445000
—
WV
05
—
0005445001
—
WV
05
—
0005445002
—
WV
01
—
001709450
BCBS PAY TO ID
WV
01
—
001709451
BCBS PAY TO ID
WV
01
—
001802529
BCBS PAY TO ID
WV
01
—
0134961
UMWA
—
05
—
3810003487
—
WV
Enumeration date
02/06/2007
Last updated
03/27/2013
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