Organization · Type 2 NPI
Fairmont Ent Associates, Inc.
Clinic/Center · Kingwood, WV
NPI number
1659554046
Active
Practice location
300 S Price St
Kingwood, WV 26537-1442
Fax (304) 366-0177
Mailing address
1712 Locust Ave
Fairmont, WV 26554-1321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | WV14772 (WV) |
Clinic/Center: 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).
6 other providers at this address
- Preston Memorial Hospital CorporationCase Manager/Care Coordinator Kingwood, WV NPI 1306037684
- Jennifer D. Cunningham, PharmDPharmacist Kingwood, WV NPI 1154636843
- Lori A. Groves, RD, LDRegistered Dietitian Kingwood, WV NPI 1851622336
- Mark David Moran, R.PH.Pharmacist Kingwood, WV NPI 1811209588
- Theresa S. Rutledge, DOSurgery Physician Kingwood, WV NPI 1922120427
- Wayne Percy Woods, PTPhysical Therapist Kingwood, WV NPI 1255493227
About NPI 1659554046
Fairmont Ent Associates, Inc.'s National Provider Identifier is 1659554046, issued on Dec 10, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Kingwood, WV. The record was last updated on May 22, 2008.