Fayette Clinic, Pllc
Fayette Clinic, Pllc is a health care provider in Lochgelly, WV. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 1 Physicians Plaza, Lochgelly, WV 25866, US |
|Practice Location Phone||304-469-3334|
|Practice Location Fax|
|Legal Business Name||FAYETTE CLINIC, PLLC|
|Enumeration Date ? ||Oct 19, 2007|
|Last Update Date ? ||Jun 5, 2008|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Fayette Clinic, Pllc
|Specialty||Provider Type||Specialization||License||License State|
|Family Medicine||Allopathic & Osteopathic Physicians|| ||West Virginia|
|Nurse Practitioner||Physician Assistants & Advanced Practice Nursing Providers|| ||West Virginia|
Legacy Provider IDs of Fayette Clinic, Pllc
|Provider Id||Issuer State||Issuer Type||Issuer|
|200164||West Virginia||Other||FEDERAL BLACK LUNG|
|513906||West Virginia||Other||RURAL HEALTH PROVIDER #|
Authorized Official of Fayette Clinic, Pllc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Fayette Clinic, Pllc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Ms. Darlene Newell (RN)|
|Authorized Official Title/Position||OFFICE MANAGER|
|Authorized Official Phone Number||304-469-3334|