Tygart Center At Fairmount Campus

LBN: 1539 Country Club Road Operations Llc
Tygart Center At Fairmount Campus is an health care organization with primary practice located at 1539 Country Club Rd , Fairmont WV 26554-1306. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 1539 Country Club Road Operations Llc can be contacted via phone (304) 366-9100, or through Dropeskey, Jane via phone (610) 925-4231.

Contact Information

Primary practice address
1539 Country Club Rd Fairmont WV 26554-1306
Phone: (304) 366-9100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dropeskey, Jane
Phone: (610) 925-4231

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 62 West Virginia

Profile Details

NPI number 1578709341
LBN Legal business name 1539 Country Club Road Operations Llc
DBA Doing business as Tygart Center At Fairmount Campus
Authorized official Dropeskey, Jane
Entity Organization
Organization subpart 1 No
Enumeration date Dec 30th, 2008
Last updated May 11th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578709341 NPPES
West Virginia MEDICAID 3810013992

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