MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS, INC. (NPI# 1578041182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578041182 |
| Entity Type | Organization |
| Organization Name | MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS, INC. |
| Other Organization Name | MVA EAST FAIRMONT MIDDLE SCHOOL WELLNESS CENTER |
| Practice Address |
221 Mason St Fairmont WV 26554-4188 |
| Mailing Address |
Po Box 1112 Fairmont WV 26555-1112 |
| Practice Telephone | 3043672123 |
| Practice Fax Number | 3043678766 |
| Mailing Telephone | 3043672123 |
| Mailing Fax Number | 3046878766 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |
| Authorized Official Name | NANCY LOUISE VANDERGRIFT (PRESIDENT) |
| Authorized Official Telephone | 3043678740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
1034-6686 | WV | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MVA East Fairmont Middle School Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740768357 | Monongahela Valley Association of Health Centers, Inc. | Clinic/Center | 110 10th St, Fairmont, WV 26554-3607 | 2018-08-06 |
| 1285093039 | Monongahela Valley Association of Health Centers, Inc. | Clinic/Center | 628 Walnut St, Monongah, WV 26554-1136 | 2016-02-22 |
| 1376902122 | Monongahela Valley Association of Health Centers, Inc. | Clinic/Center | 550 Camden Ave, Monongah, WV 26554-1105 | 2016-02-22 |
| 1083162796 | Monongahela Valley Association of Health Centers, Inc. | Clinic/Center | 118 Market St, Mannington, WV 26582-1131 | 2016-09-12 |
| 1669793287 | Monongahela Valley Association of Health Centers, Inc. | Clinic/Center | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2010-06-17 |
| 1548413982 | Monongahela Valley Association of Health Centers, Inc. | Clinical Medical Laboratory | 1 Columbia Rd, Shinnston, WV 26431-1016 | 2008-10-29 |
| 1932351954 | Monongahela Valley Association of Health Centers, Inc. | Clinical Medical Laboratory | 400 Main Street, Fairview, WV 26570 | 2008-10-22 |
| 1710165568 | Monongahela Valley Association of Health Centers, Inc. | Clinic/Center | 1 Columbia Rd, Shinnston, WV 26431-1016 | 2008-02-04 |
| Street Address |
221 MASON ST |
| City | FAIRMONT |
| State | WV |
| Zip Code | 26554-4188 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740768357 | Monongahela Valley Association of Health Centers, Inc. | Clinic/Center | 110 10th St, Fairmont, WV 26554-3607 | 2018-08-06 |
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|---|---|---|---|---|
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| 1063048189 | Community Care of West Virginia, Inc. | Clinic/Center | 34 N Kanawha St, Buckhannon, WV 26201-2714 | 2020-03-20 |
| 1619503422 | Change Inc | Clinic/Center | 114 Taylor Ave, Weirton, WV 26062-4635 | 2020-03-13 |
| 1861023699 | Logan-mingo Area Mental Health, Inc | Clinic/Center | 2954 Buffalo Creek Road, Chattaroy, WV 25667 | 2020-01-30 |
| 1689220402 | New River Health Association, Inc. | Clinic/Center | 2 Greyhound Ln., Smithers, WV 25186 | 2019-08-16 |
| 1740836873 | Williamson Health & Wellness Center Inc | Clinic/Center | 5 Parkway Dr, Williamson, WV 25661-3428 | 2019-08-14 |
| 1699321729 | Williamson Health & Wellness Center Inc | Clinic/Center | 50 Panther Blvd, Williamson, WV 25661-7441 | 2019-08-14 |
| 1083260129 | Williamson Health & Wellness Center Inc | Clinic/Center | 300 Blue Devil Lane, Kermit, WV 25661 | 2019-08-14 |
| 1225684731 | Williamson Health & Wellness Center Inc | Clinic/Center | 1000 King Coal Hwy, Delbarton, WV 25670-9529 | 2019-08-12 |
| Find all providers with the same taxonomy | ||||
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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.