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Contact Information

FAIRMONT STATE UNIVERSITY
1201 LOCUST AVE FL 3
FAIRMONT, WV26554-2451
 Phone: 304-367-4155
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Student Health

261QS1000X
Indicates primary specialty

NPI Profile & details for FAIRMONT STATE UNIVERSITY

NPI Number 1326625252
LBN Legal business name FAIRMONT STATE UNIVERSITY
Authorized official MIRTA MARTIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2021
Last updated 03/26/2021 - About 5 years ago
Identifiers n/a
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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