Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Longevity Clinical Ltc Associates of West Virginia, PLLC

Organization Family Medicine Physician · NPI 1467271809

Longevity Clinical Ltc Associates of West Virginia, PLLC is a Family Medicine Physician in Fairmont, West Virginia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1545 Country Club Rd
Fairmont, WV 26554-1306
Phone: (561) 815-2427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X
Family Medicine Physician Taxonomy 207Q00000X
Gerontology Nurse Practitioner Taxonomy 363LG0600X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1467271809
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Vincur — Manager · (561) 815-2427
NPI enumeratedOctober 3, 2024
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024
Mailing address11780 Us Highway 1 Ste N107, North Palm Beach, FL 33408-3007

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