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

Wvdhhr John Manchin Sr Health Care Center

Organization Family Medicine Physician · NPI 1417963000

Wvdhhr John Manchin Sr Health Care Center is a Family Medicine Physician in Fairmont, West Virginia. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

401 Guffey St
Fairmont, WV 26554
Phone: (304) 363-2500
Fax: (304) 363-0263
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Nursing Facility/Intermediate Care Facility Taxonomy 313M00000X

Record details

NPI number1417963000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carol Merrill — Ceo Administrator · (304) 363-2500
NPI enumeratedAugust 1, 2006
Last updated in NPPESDecember 4, 2007
Mailing address401 Guffey Street, Fairmont, WV 26554

Other providers in Fairmont