| NPI | 1326625252 |
|---|---|
| Other Name | FAIRMONT STATE UNIVERSITY STUDENT HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | MIRTA MARTIN President 304-367-4151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2021-03-26 |