Fairmont State University

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

FAIRMONT STATE UNIVERSITY

Practice address

1201 Locust Ave FL 3
Fairmont, WV 26554-2451

Phone

(304) 367-4155

NPI assigned

Mar 26, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Mirta Martin, PHD

Title

President

Phone

(304) 367-4151

Specialties & licenses 1

Addresses

Other names 1

• Fairmont State University Student Health Services Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chelsea Collins, NP

  • Family Nurse Practitioner
  • Morgantown, WV
  • NPI 1013362193
  NPD

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1326625252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 LOCUST AVE FL 3",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542451",
            "telephone_number": "304-367-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 LOCUST AVE FL 3",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542451",
            "telephone_number": "304-367-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRMONT STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MIRTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-367-4151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairmont State University Student Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Fairmont Physicians, Inc
• Fairmont Physicians, Inc.
• Fairmont Physicians, Inc.
• Fairmont Regional Cancer Center (University Health Associates)
• Fairmont Rehabilitation and Healthcare Center LLC
• Derek Alan Falkenstein, PT
• Family Care Associates, PLLC
• Family First Chiropractic
• Family Service of Marion & Harrison Counties Inc
• Family Service of Marion & Harrison Counties Inc

• Student Health Clinic/Center in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Student Health Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.