Active NPI
Monongahela Valley Association of Health Center, Inc.
- Federally Qualified Health Center (FQHC)
- Farmington, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTER, INC.
- Doing business as
- North Marion Wellness Center
- Practice address
- 1 N Marion Dr
Farmington, WV 26571-9717 - Phone
- (304) 366-0700
- Fax
- (304) 366-9529
- NPI assigned
- Sep 7, 2006
- Organization subpart
- No
NPPES NPI Registry
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary | ||
| Student Health Clinic/Center | 261QS1000X |
Addresses
Primary practice location
1 N Marion Dr
Farmington, WV 26571-9717
Mailing address
1322 Locust Ave
PO Box 1112
Fairmont, WV 26554-1436
Phone (304) 366-0700
Other names 1
- North Marion Wellness Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080220000201 | WV | Part B Supplier - Public Health/Welfare Agency | 6800991977 |
Receives reassigned benefits from 20 practitioners 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Shinnston, WV; Mannington, WV; Fairmont, WV; Farmington, WV |
Federally qualified health center certification: CCN 511096
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- MVA NORTH MARION CAMPUS WELLNESS CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Apr 15, 2016
- Last certification
- Apr 15, 2016
- Ownership / control type
- For profit – corporation
- Facility address
- 1 North Marion Drive
Farmington, WV 26571
Other NPIs on the same Medicare enrollment 10
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Fairmont, WV
- NPI 1518060581
O20080220000201
-
- Federally Qualified Health Center (FQHC)
- Monongah, WV
- NPI 1285093039
O20080220000201
-
- Federally Qualified Health Center (FQHC)
- Monongah, WV
- NPI 1376902122
O20080220000201
-
- Clinic/Center
- Fairview, WV
- NPI 1407034887
O20080220000201
-
- Federally Qualified Health Center (FQHC)
- Fairmont, WV
- NPI 1578041182
O20080220000201
-
- Federally Qualified Health Center (FQHC)
- Fairmont, WV
- NPI 1740768357
O20080220000201
-
- Federally Qualified Health Center (FQHC)
- Fairmont, WV
- NPI 1770697278
O20080220000201
-
- Federally Qualified Health Center (FQHC)
- Mannington, WV
- NPI 1083162796
O20080220000201
-
- Federally Qualified Health Center (FQHC)
- Shinnston, WV
- NPI 1710165568
O20080220000201
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751932800000",
"number": "1598868143",
"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": "1 N MARION DR",
"city": "FARMINGTON",
"state": "WV",
"postal_code": "265719717",
"telephone_number": "304-366-0700",
"fax_number": "304-366-9529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"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": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QS1000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Student Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "North Marion Wellness Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "North Marion Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Farmington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.