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FAYETTEVILLE URGENT CARE
NPI 1417390154
Clinic/Center - Urgent Care in Fayetteville, WV

Active since April 11, 2013
5447 MAPLE LN STE B, FAYETTEVILLE, WV 25840(304) 574-6900(304) 574-6922 Get Directions Write a Review

NPPES record last updated: April 11, 2013. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Fayetteville Urgent Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAYETTEVILLE URGENT CARE (NPI 1417390154) is a healthcare organization registered as an urgent care in Fayetteville, West Virginia and active in the NPI registry since April 2013. The organization lists Deron John Hammack, Owner, as its authorized official.

NPPES Registry Identity

NPI1417390154
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameFAYETTE MEDICAL SERVICES PLLC
Location Address5447 MAPLE LN STE BFayetteville, WV 25840-6872
Mailing Address5447 Maple Ln Ste BFayetteville, WV 25840-6872 · (304) 574-6900 · Fax (304) 574-6922
Phone(304) 574-6900
Fax(304) 574-6922
Organization SubpartNo
Authorized OfficialDeron John HammackOwner · (304) 574-6900
Enumeration DateApril 11, 2013
✔ NPI 1417390154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
License✔ Licensed in WV · 2487
5447 MAPLE LN STE B, Fayetteville, WV 25840
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Other Names 1

Doing Business AsFayetteville Urgent Care

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fayette Medical Services PLLC's NPI number?

The NPI number for Fayette Medical Services PLLC is 1417390154. It was assigned to this organization in the NPPES registry on April 11, 2013. The provider is doing business as Fayetteville Urgent Care.

Where is Fayette Medical Services PLLC located?

Fayette Medical Services PLLC is located at 5447 Maple Ln Ste B, Fayetteville, WV 25840. The listed phone number is (304) 574-6900.

What is Fayette Medical Services PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

When was this NPI record last updated?

The NPPES record for Fayette Medical Services PLLC was last updated on April 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.