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Fairmont Ent Associates, Inc.
Clinic/Center in Kingwood, West Virginia
NPI 1659554046

Fairmont Ent Associates, Inc. is a Clinic/Center based in Fairmont, WV. Fairmont Ent Associates, Inc. practices in Kingwood, WV. The NPI Number for Fairmont Ent Associates, Inc. is 1659554046 and holds a License No. WV14772 (West Virginia).

The current practice location address for Fairmont Ent Associates, Inc. is 300 S Price St, Kingwood, WV and can be reached out via phone at 304-366-6157 and via fax at 304-366-0177.

Location: 300 S Price St, Kingwood, WV, 26554-1321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659554046
Provider Name
Fairmont Ent Associates, Inc.
Credential
Provider Entity Type
Organization
Address
300 S Price St, Kingwood, WV, 26554-1321
Phone Number
304-366-6157
Fax Number
304-366-0177
Provider Enumeration Date
12/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0041418000 05 WV
CL6325 01 WV RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
300 S Price St
City
Kingwood
State
West Virginia
Zip
26537-1442
Phone Number
304-366-6157
Fax Number
304-366-0177
person
Provider Business Mailing Address Details
Address
300 S Price St
City
Kingwood
State
West Virginia
Zip
26537-1442
Phone Number
304-366-6157
Fax Number
304-366-0177
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
WV14772 (West Virginia)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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