NPIMap

Organization Active NPI

Fairmont Home Equipment & Supply Company

Doing business as Mon Health Equipment & Supplies - Fairmont

  • Oxygen Equipment & Supplies (DME)
  • Morgantown, WV
National Provider Identifier
1356346357
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
FAIRMONT HOME EQUIPMENT & SUPPLY COMPANY
Doing business as
Mon Health Equipment & Supplies - Fairmont
Practice address
600 Business Park Dr
Morgantown, WV 26505-1124
Phone
(304) 285-2700
Fax
(304) 285-2704
NPI assigned
Jun 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Jeanette Lynn Lancaster
Title
Executive Director
Phone
(304) 282-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

600 Business Park Dr
Morgantown, WV 26505-1124

Mailing address

PO Box 580
Morgantown, WV 26507-0580
Phone (304) 285-2700

Other identifiers 1

IdentifierTypeStateIssuer
9100036000MedicaidWV

Other names 2

  • Mon Health Equipment & Supplies - Fairmont Doing business as
  • Fairmont Home Medical Other name

National Provider Directory

National Provider Directory

Locations

120 Marion Sq
Fairmont, WV 26554

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1356346357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265070580",
            "telephone_number": "304-285-2700",
            "fax_number": "304-285-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BUSINESS PARK DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051124",
            "telephone_number": "304-285-2700",
            "fax_number": "304-285-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRMONT HOME EQUIPMENT & SUPPLY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "LANCASTER",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-282-2700"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9100036000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mon Health Equipment & Supplies - Fairmont",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairmont Home Medical",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Fairmont Home Medical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.