Fairmont State University

LBN: Fairmont State University
Fairmont State University is an health care organization with primary practice located at 1201 Locust Ave Fl 3 , Fairmont WV 26554-2451. The organization recently has only one registered license in Ambulatory Health Care Facilities / Student Health, which is considered as the primary health care specialty. Fairmont State University can be contacted via phone (304) 367-4155, or through Martin, Mirta via phone (304) 367-4151.

Contact Information

Primary practice address
1201 Locust Ave Fl 3 Fairmont WV 26554-2451
Phone: (304) 367-4155
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martin, Mirta PHD
Phone: (304) 367-4151

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Student Health 261QS1000X

Profile Details

NPI number 1326625252
LBN Legal business name Fairmont State University
DBA Doing business as
Authorized official Martin, Mirta PHD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2021
Last updated Mar 26th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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