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

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: August 09, 2026.

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
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

Other Identifiers 4

Medicare ID-Type Unspecified7901101OP
OtherC13880Medicare Railroad
Medicare UPINY03944
Medicare ID-Type Unspecified5150752IP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nursing Facility/Intermediate Care Facility
401 GUFFEY STREET
FAIRMONT, WV 26554

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.

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.