Mva Fairmont Clinic Pharmacy

LBN: Monongahela Valley Association Of Health Center, Inc.
Mva Fairmont Clinic Pharmacy is an health care organization with primary practice located at 1322 Locust Ave , Fairmont WV 26554-1436. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Monongahela Valley Association Of Health Center, Inc. can be contacted via phone (304) 366-0700, or through Vandergrift, Nancy L via phone (304) 366-0700.

Contact Information

Primary practice address
1322 Locust Ave Fairmont WV 26554-1436
Fax: (304) 366-9529
Website:
Authorized official contact:
Name: Vandergrift, Nancy L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X SP0550384 West Virginia

Profile Details

NPI number 1609979673
LBN Legal business name Monongahela Valley Association Of Health Center, Inc.
DBA Doing business as Mva Fairmont Clinic Pharmacy
Authorized official Vandergrift, Nancy L
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2006
Last updated Aug 12th, 2021 - about 3 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 1609979673 NPPES
West Virginia MEDICAID 0035167007

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