Fairmont Ent Associates, Inc., NPI 1659554046
Clinic/Center in Kingwood, WV, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1659554046
NPI Entity Type Organization
Provider Name Fairmont Ent Associates, Inc.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 300 S Price St, Kingwood, WV, US
Provider Mailing Address 1712 Locust Ave, Fairmont, WV, US, 265541321
Is Sole Proprietor? No
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Organization Official

Official Name DR. M.D. Joedy L Daristotle
Official Position PHYSICIAN
Phone 304-366-6157

Primary Taxonomy

Taxonomy Code

261Q00000X

Taxonomy Name Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

License No. WV14772
License State WV
Description A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Business Address

Fairmont Ent Associates, Inc.
300 S Price St

Kingwood, WV, US

Phone: 304-366-6157
Fax: 304-366-0177

Mailing Address

Fairmont Ent Associates, Inc.
1712 Locust Ave
Fairmont, WV, US
ZIP 265541321
Phone: 304-366-6157
Fax: 304-366-0177

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
0041418000 WV MEDICAID 05
CL6325 WV RR MEDICARE 01

Other Providers in WV, US

NPI Name Taxonomy Address

1255056628

Jennifer Knight

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Home Health Registered Nurse

829 Fairmont Rd

Morgantown, WV

1154046514

MR. Wayne Matthew Bachelor

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Peer Specialist

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1730804188

Melissa Jones

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Community Health Worker

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Charleston, WV

1114642568

Gideon Mossor

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200 Association Dr Ste 130

Charleston, WV

1982329330

Tanisha Wilson

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1164147500

Deloris Ann Hopkins

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1255056693

Elizabeth Neal

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1629793054

Luke Petrice

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1588389910

Joshua Riley

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200 Association Dr Ste 130

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1992420319

Karie Morrison

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1275258691

Katelyn Lucas

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1558086975

Jenna Taylor

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Huntington, WV

1740905165

Tisean Jayree Walker

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Huntington, WV

1922723345

Montana Wallace

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Huntington, WV

1033834452

Natasha Sharon Sexton

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1770208191

Katheryn Joyce Bailey

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1236 Madison Ave

Huntington, WV

1518682939

Alexis Perry

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Personal Care Attendant

712 Mercer St Ste D

Princeton, WV

1174248587

Stevie Dawn Cline

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Personal Care Attendant

695 Mountaineer Hwy

Mullens, WV

1003531419

Britney Brogan

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School Registered Nurse

267 Midway Rd

Alum Creek, WV

1689399099

Mary Mccullough

Individual

Personal Care Attendant

1599 2nd Ave

Charleston, WV

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