Fairmont General Mdgrp

LBN: Fairmont General Mdgrp
Fairmont General Mdgrp is an health care organization with primary practice located at 1325 Locust Ave , Fairmont WV 26554-1435. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Fairmont General Mdgrp can be contacted via phone (304) 367-7100, or through Sengewalt, Michael J via phone (304) 367-7152.

Contact Information

Primary practice address
1325 Locust Ave Fairmont WV 26554-1435
Phone: (304) 367-7100
Fax: (304) 333-2617
Website:
Map and Directions
Authorized official contact:
Name: Sengewalt, Michael J
Phone: (304) 367-7152

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9 West Virginia

Profile Details

NPI number 1215117262
LBN Legal business name Fairmont General Mdgrp
DBA Doing business as
Authorized official Sengewalt, Michael J
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2007
Last updated Nov 7th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215117262 NPPES
West Virginia MEDICAID 0001118003

Popular Providers