WVDHHR JOHN MANCHIN SR HEALTH CARE CENTER (NPI# 1417963000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417963000 |
| Entity Type | Organization |
| Organization Name | WVDHHR JOHN MANCHIN SR HEALTH CARE CENTER |
| Practice Address |
401 Guffey Street Fairmont WV 26554 |
| Practice Telephone | 3043632500 |
| Practice Fax Number | 3043630263 |
| Mailing Telephone | 3043632500 |
| Mailing Fax Number | 3043630263 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-12-04 |
| Authorized Official Name | MS. CAROL D MERRILL (CEO ADMINISTRATOR) |
| Authorized Official Telephone | 3043632500 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RAILROAD | C13880 | 01 |
| Street Address |
401 GUFFEY STREET |
| City | FAIRMONT |
| State | WV |
| Zip Code | 26554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922404649 | Wvdhhr John Manchin Sr. Health Care Center | Nursing Facility/Intermediate Care Facility | 401 Guffey Street, Fairmont, WV 26554-6554 | 2014-11-06 |
| 1730238932 | John David Lindsay Jr. | Family Medicine | 401 Guffey Street, Fairmont, WV 26554 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497680 | Vanquisha Clay | Technician | 118 Conaway St, Fairmont, WV 26554 | 2020-11-06 |
| 1851903363 | Denise S Greer | Technician | 1029 Prickett Road, Fairmont, WV 26554 | 2020-08-18 |
| 1730790775 | Darla Lee Mcrobie | Technician | 105 C'anna Square, Fairmont, WV 26554 | 2020-08-13 |
| 1376025718 | Jason Batten | Counselor | 621 Maryland Ave, Fairmont, WV 26554 | 2018-09-02 |
| 1437669066 | Ultimate Health & Wellness, LLC | Naturopath | 2862 Whitehall Blvd, Whitehall, WV 26554 | 2017-10-10 |
| 1457872376 | Michele R Lilley | Nurse Practitioner | 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 | 2017-06-30 |
| 1477906154 | Rebecca Hayes-merrill | Counselor | 212 Adams St., 3rd Floor, Fairmont, WV 26554 | 2016-07-19 |
| 1790173417 | Dennis Michael Lynch | Counselor | 5 Turf Lane, Fairmont, WV 26554 | 2015-01-05 |
| 1336558725 | Nicole Savage | Home Health Aide | 122 Abbott St, Fairmont, WV 26554 | 2014-08-11 |
| 1124434550 | Achuta Ram Aynampudi | Psychiatry & Neurology | 100 Stoney Hill Rd, Fairmont, WV 26554 | 2014-07-07 |
| Find all providers in zip 26554 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134641947 | Primary Care Management Services, LLC | Family Medicine | 400 S State St Ste 55, Fairmont, MN 56031-2872 | 2017-07-13 |
| 1043486145 | James Namsupak | Family Medicine | 401 Guffey St, John Manchin Sr. Health Care Center, Fairmont, WV 26554-4029 | 2008-05-08 |
| 1982779096 | Dulcimer Medical Center Pa | Family Medicine | 717 S State Street, Suite 800, Fairmont, MN 56031-4469 | 2006-11-22 |
| 1316037146 | Richard E Vasicek | Family Medicine | 177 Middletown Rd Ste 1, Fairmont, WV 26554-8254 | 2006-10-13 |
| 1134151228 | Hilsbos Family Care, Pllc | Family Medicine | 403 Virginia Ave Ste 202, Fairmont, WV 26554-2748 | 2006-07-07 |
| 1790714228 | Fairmont Physicians Inc | Family Medicine | 211 Marion Square, Fairmont, WV 26554 | 2006-06-30 |
| 1083656896 | Perry L Hall IIi | Family Medicine | 1836 Locust Avenue, Suite 1, Fairmont, WV 26554 | 2006-06-13 |
| 1881678738 | Duwayne Allen Hansen | Family Medicine | 1861 Knollwood Dr, Fairmont, MN 56031-2303 | 2005-12-05 |
| 1134103328 | Steven Wayne Sumey | Family Medicine | 322 S State St, Fairmont, MN 56031-4139 | 2005-12-01 |
| 1053395293 | Denise Schavey | Family Medicine | 1950 Center Creek Dr, Suite 100, Fairmont, MN 56031-3428 | 2005-12-01 |
| Find all providers in FAIRMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.