Wvdhhr John Manchin Sr Health Care Center
NPI 1417963000 · Family Medicine Physician · Fairmont, WV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wvdhhr John Manchin Sr Health Care Center is a Family Medicine Physician organization in Fairmont, WV (NPI 1417963000).
Provider details
- NPI number
- 1417963000
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carol Merrill, Ceo Administrator(304) 363-2500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-01
- Last updated
- 2007-12-04
Frequently asked questions
- What is Wvdhhr John Manchin Sr Health Care Center's NPI number?
- Wvdhhr John Manchin Sr Health Care Center's National Provider Identifier (NPI) is 1417963000, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wvdhhr John Manchin Sr Health Care Center?
- Wvdhhr John Manchin Sr Health Care Center is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wvdhhr John Manchin Sr Health Care Center located?
- Wvdhhr John Manchin Sr Health Care Center's practice location on file with NPPES is 401 Guffey Street, Fairmont, WV 26554.
- What is Wvdhhr John Manchin Sr Health Care Center's phone number?
- The practice phone number listed in the NPPES registry for Wvdhhr John Manchin Sr Health Care Center is (304) 363-2500.
- Does Wvdhhr John Manchin Sr Health Care Center accept Medicare?
- Wvdhhr John Manchin Sr Health Care Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wvdhhr John Manchin Sr Health Care Center?
- The authorized official listed on Wvdhhr John Manchin Sr Health Care Center's NPPES record is Carol Merrill, Ceo Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wvdhhr John Manchin Sr Health Care Center's NPI active?
- Yes — Wvdhhr John Manchin Sr Health Care Center's NPI (1417963000) is active in the NPPES registry as of the last update on 2007-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.