Fairmont General Mdgrp in Fairmont - Specialist

Fairmont General Mdgrp - NPI 1215117262

Fairmont General Mdgrp is a Specialist in Fairmont, . Fairmont General Mdgrp practices all healthcare services and medical treatments related to Specialist. The NPI Number for Fairmont General Mdgrp is 1215117262. The last update date is 2007-11-07.

Fairmont General Mdgrp's current location address is 1325 Locust Ave, Fairmont, . You can contact this provider via phone number 3043677100 and fax number 3043332617. The mailing address for Fairmont General Mdgrp is 1325 Locust Ave, Fairmont, . To know further, please read the information below!

Provider Profile Detail

Provider Organization Fairmont General Mdgrp
Address 1325 Locust Ave, Fairmont,
Phone Number 3043677100
Fax Number 3043332617
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SENIOR VP
Authorized Official Name Sengewalt J Michael
Telephone Number 3043677152

NPI Number Detail

NPI Number 1215117262
Provider Enumeration Date 2007-11-07
Last Updated Date 2007-11-07

Provider Mailing Address Detail

Address 1325 Locust Ave
City Fairmont
State (WV)
Post Code 265541435
Phone Number 3043677100
Fax Number 3043332617

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 9
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1118003 WV --

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FAQs about Fairmont General Mdgrp

What is the Fairmont General Mdgrp's unique identification number?

The Fairmont General Mdgrp has been assigned the NPI (National Provider Identifier) Number 1215117262 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Fairmont General Mdgrp is physically located?

The Fairmont General Mdgrp is physically situated at the following address: 1325 Locust Ave, Fairmont, WV, 265541435.

What is Fairmont General Mdgrp's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Fairmont General Mdgrp is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1215117262 to Fairmont General Mdgrp?

The Centers for Medicare & Medicaid Services originally issued the 1215117262 to Fairmont General Mdgrp on 2007-11-07.

As of what date was the information pertaining to Fairmont General Mdgrp, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Fairmont General Mdgrp, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-11-07.

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