Family Service Of Marion & Harrison Counties Inc | |
1313 Locust Ave Ste 1 Fairmont WV 26554-1517 | |
(304) 366-4750 | |
(304) 366-4753 |
Full Name | Family Service Of Marion & Harrison Counties Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 1313 Locust Ave Ste 1, Fairmont, West Virginia |
Authorized Official Name and Position | Carolyn Jones (DIRECTOR) |
Authorized Official Contact | 3046994750 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Service Of Marion & Harrison Counties Inc 1313 Locust Ave Ste 1 Fairmont WV 26554-1517 Ph: (304) 366-4750 | Family Service Of Marion & Harrison Counties Inc 1313 Locust Ave Ste 1 Fairmont WV 26554-1517 Ph: (304) 366-4750 |
NPI Number | 1215295688 |
---|---|
Provider Enumeration Date | 04/24/2012 |
Last Update Date | 05/06/2022 |
Certification Date | 05/06/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215295688 | NPI | - | NPPES |
1679831044 | Medicaid | WV | |
1942568316 | Medicaid | WV | |
1215295688 | Medicaid | WV | |
1356455091 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 129 (West Virginia) | Primary |
News Archive
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