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Contact Information

FAYETTE COMMUNITY HEALTH CARE
422 23RD ST
OAK HILL, WV25901-2830
 Phone: 304-465-1903
 Fax: 304-949-3807
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for FAYETTE COMMUNITY HEALTH CARE

NPI Number 1720081615
LBN Legal business name FAYETTE COMMUNITY HEALTH CARE
Authorized official CALVIN SUTPHIN - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
WV License # 129
WV Medicaid 0003674000
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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