Mva X-Ray Fairmont Clinic

LBN: Mva X-Ray Fairmont Clinic
Mva X-Ray Fairmont Clinic 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 Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Mva X-Ray Fairmont Clinic can be contacted via phone (304) 367-8740, or through Vandergrift, Nancy L via phone (304) 367-8740.

Contact Information

Primary practice address
1322 Locust Ave Fairmont WV 26554-1436
Phone: (304) 367-8740
Fax: (304) 366-9529
Website:
Map and Directions
Authorized official contact:
Name: Vandergrift, Nancy L MBA
Phone: (304) 367-8740

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X 1034-6686 West Virginia

Profile Details

NPI number 1831491042
LBN Legal business name Mva X-Ray Fairmont Clinic
DBA Doing business as
Authorized official Vandergrift, Nancy L MBA
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 19th, 2010
Last updated Sep 23rd, 2011 - about 13 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 1831491042 NPPES
West Virginia MEDICAID 0121537000

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