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Contact Information

FAIRMONT PHYSICIANS INC
211 MARION SQUARE
FAIRMONT, WV26554
 Phone: 304-367-0043
 Fax: 304-367-9470
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for FAIRMONT PHYSICIANS INC

NPI Number 1790714228
LBN Legal business name FAIRMONT PHYSICIANS INC
Authorized official GEORGE BOYLES - (TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2006
Last updated 03/17/2009 - About 17 years ago
Identifiers
WV Medicaid 0009022000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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