WVDHHR JOHN MANCHIN SR HEALTH CARE CENTER
NPI 1417963000
Family Medicine in Fairmont, WV

Q: What is Wvdhhr John Manchin Sr Health Care Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 01, 2006

401 GUFFEY STREET, FAIRMONT, WV 26554(304) 363-2500(304) 363-0263 Get Directions Write a Review

NPPES record last updated: December 4, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Wvdhhr John Manchin Sr Health Care Center NPPES

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

WVDHHR JOHN MANCHIN SR HEALTH CARE CENTER (NPI 1417963000) is a healthcare organization registered as a family medicine in Fairmont, West Virginia and active in the NPI registry since August 2006. The organization lists Carol D Merrill, Ceo Administrator, as its authorized official.

NPPES Registry Identity

NPI1417963000

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameWVDHHR JOHN MANCHIN SR HEALTH CARE CENTER

Location Address401 GUFFEY STREETFairmont, WV 26554

Mailing Address401 Guffey StreetFairmont, WV 26554 · (304) 363-2500 · Fax (304) 363-0263

Phone(304) 363-2500

Fax(304) 363-0263

Organization SubpartNo

Authorized OfficialCarol D MerrillCeo Administrator · (304) 363-2500

Enumeration DateAugust 1, 2006

Last NPPES UpdateDecember 4, 2007

✔ NPI 1417963000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X

401 GUFFEY STREET, Fairmont, WV 26554

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Other Identifiers 4

Medicare ID-Type Unspecified7901101OP

OtherC13880Medicare Railroad

Medicare UPINY03944

Medicare ID-Type Unspecified5150752IP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wvdhhr John Manchin Sr Health Care Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wvdhhr John Manchin Sr Health Care Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

James Namsupak, M.D.

General Practice

NPI 1043486145

401 GUFFEY ST JOHN MANCHIN SR. HEALTH CARE CENTER
Fairmont, WV 26554

(304) 363-2500

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wvdhhr John Manchin Sr Health Care Center's NPI number?

The NPI number for Wvdhhr John Manchin Sr Health Care Center is 1417963000. It was assigned to this organization in the NPPES registry on August 1, 2006.

Where is Wvdhhr John Manchin Sr Health Care Center located?

Wvdhhr John Manchin Sr Health Care Center is located at 401 Guffey Street, Fairmont, WV 26554. The listed phone number is (304) 363-2500.

What is Wvdhhr John Manchin Sr Health Care Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wvdhhr John Manchin Sr Health Care Center enrolled in Medicare?

Yes. Wvdhhr John Manchin Sr Health Care Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wvdhhr John Manchin Sr Health Care Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Wvdhhr John Manchin Sr Health Care Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wvdhhr John Manchin Sr Health Care Center was last updated on December 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.