Organization · Type 2 NPI

Bma of Fairmont - Uha

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fairmont, WV

NPI number 1912136771 Active

Practice location

31 Landing Ln
Fairmont, WV 26554-8207

Mailing address

PO Box 780
Morgantown, WV 26507-0780

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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About NPI 1912136771

Bma of Fairmont - Uha's National Provider Identifier is 1912136771, issued on Jul 14, 2009. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fairmont, WV. The record was last updated on Jul 14, 2009.