NPIMap

Organization Active NPI

Monongahela Valley Association of Health Centers Inc

  • Community Based Hospice Care Agency
  • Fairmont, WV
National Provider Identifier
1154424117
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS INC
Doing business as
MVA Hospice of Marion County
Practice address
1322 Locust Ave
Fairmont, WV 26555-1112
Phone
(304) 366-0700
Fax
(304) 366-9529
NPI assigned
Sep 6, 2006
Organization subpart
Yes
Parent organization
MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Ms. Nancy L Vandergrift
Title
President
Phone
(304) 366-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1322 Locust Ave
Fairmont, WV 26555-1112

Mailing address

PO Box 1112
1322 Locust Ave
Fairmont, WV 26555-1112
Phone (304) 366-0700

Other identifiers 1

IdentifierTypeStateIssuer
0005588000MedicaidWV

Other names 1

  • MVA Hospice of Marion County Doing business as

National Provider Directory

National Provider Directory
Part of
Monongahela Val Assoc O

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1154424117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1112",
            "address_2": "1322 LOCUST AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265551112",
            "telephone_number": "304-366-0700",
            "fax_number": "304-366-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 LOCUST AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265551112",
            "telephone_number": "304-366-0700",
            "fax_number": "304-366-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS INC",
        "enumeration_date": "2006-09-06",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "VANDERGRIFT",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-366-0700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005588000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MVA Hospice of Marion County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 29, 2008; 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.