Monongahela Valley Association of Health Centers Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS INC

Doing business as

Fairmont Clinical Lab

Practice address

1322 Locust Ave
Fairmont, WV 26554-1436

Phone

(304) 366-0700

Fax

(304) 366-9529

NPI assigned

Sep 6, 2006

Last updated

Aug 11, 2011By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Fairmont Clinical Lab Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1245333202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 LOCUST AVE",
            "address_2": "PO BOX 1112",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541436",
            "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": "265541436",
            "telephone_number": "304-366-0700",
            "fax_number": "304-366-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2011-08-11",
        "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": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035167005",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairmont Clinical Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monongahela Valley Association of Health Center Inc (East Fairmont Wellness Center)
• Monongahela Valley Association of Health Center, Inc. (MVA East Fairmont Middle School Wellness Center)
• Monongahela Valley Association of Health Center, Inc. (MVA West Fairmont Middle School Wellness Center)
• Monongahela Valley Association of Health Centers Inc (MVA Case Management)
• Monongahela Valley Association of Health Centers Inc (MVA Hospice of Marion County)
• Monongahela Valley Association of Health Centers Inc (MVA Home Health Service)
• Monongahela Valley Association of Health Centers Inc (MVA Physical Therapy Services)
• Monongahela Valley Association of Health Centers Inc (MVA Optical Services)
• Monongahela Valley Association of Health Centers, Inc (MVA Fairmont Clinic)
• Monongahela Valley Association of Health Centers, Inc. (MVA Fairmont Clinic Pharmacy)

• Clinical Medical Laboratory in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Clinical Medical Laboratory in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.