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Organization

FAIRMONT MEDICAL GROUP, INC.

Active
Parent organization
FAIRMONT MEDICAL GROUP, INC.
Other names
FAIRVIEW CLINIC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FAIRMONT MEDICAL GROUP, INC.
Authorized official
NANCY L. VANDERGRIFT (PRESIDENT)
(304) 367-8740
Entity
Organization

Contact information

Practice address
400 MAIN STREET, FAIRVIEW, WV 26570
(304) 367-8710
(304) 366-8529
Mailing address
PO BOX 1112, FAIRMONT, WV 26555-1112
(304) 367-8710
(304) 366-8529

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
12/17/2008
Last updated
12/17/2008
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