Wvdhhr John Manchin Sr Health Care Center
NPI 1417963000ActiveOrganization· Family Medicine· Fairmont, WV
Family Medicine in Fairmont, West Virginia, registered in NPPES in August 2006. The authorized official on file is Carol D. Merrill, NHA, Ceo Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417963000 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 1, 2006 |
| Last updated in NPPES | Dec 4, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Nursing Facility/Intermediate Care Facility | 313M00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WV) |
|---|
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