NPIMap

Organization Active NPI

Fairmont General Hospital, Inc.

  • Home Health Agency
  • Fairmont, WV
National Provider Identifier
1114015757
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
09 Issued in WV
Legal business name
FAIRMONT GENERAL HOSPITAL, INC.
Practice address
1325 Locust Ave
Fairmont, WV 26554-1435
Phone
(304) 367-7174
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Whitney Patterson, CPA, CHFP
Title
Cfo / VP of Finance
Phone
(304) 367-7109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 09 WV Primary

Addresses

Primary practice location

1325 Locust Ave
Fairmont, WV 26554-1435

Mailing address

1325 Locust Ave
Fairmont, WV 26554-1435
Phone (304) 367-7100

Other identifiers 1

IdentifierTypeStateIssuer
0001118005MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Fairmont General Hospital Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1114015757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 LOCUST AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541435",
            "telephone_number": "304-367-7100",
            "fax_number": "304-367-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 LOCUST AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541435",
            "telephone_number": "304-367-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRMONT GENERAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "CFO / VP OF FINANCE",
        "authorized_official_telephone_number": "304-367-7109",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA, CHFP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WV",
            "license": "09",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001118005",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.