Family Medicine, Geriatric Medicine
LONGEVITY CLINICAL LTC ASSOCIATES OF WEST VIRGINIA, PLLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1467271809 · enumerated 2024-10-03 · record updated 2024-10-03. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: DIANE VINCUR, Manager · (561) 815-2427
Addresses and phones
- Practice location 1545 COUNTRY CLUB RD, FAIRMONT, WV, 26554-1306 (561) 815-2427 Google Maps Apple Maps OpenStreetMap
- Mailing address 11780 US HIGHWAY 1 STE N107, NORTH PALM BEACH, FL, 33408-3007 (561) 815-2427 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X
- Family Medicine, Geriatric Medicine 207QG0300X · Primary
- Nurse Practitioner, Gerontology 363LG0600X
- Nurse Practitioner, Primary Care 363LP2300X
In this directory
WV Marion County Fairmont Family Medicine, Geriatric Medicine
Locations and evidence
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Practice location
FAIRMONT, WV, 265541306
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.