Healthcare Provider Details

I. General information

NPI: 1891681227
Provider Name (Legal Business Name): ECMTHREE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 THREE SPRINGS DR STE 16
WEIRTON WV
26062-3866
US

IV. Provider business mailing address

241 THREE SPRINGS DR STE 16
WEIRTON WV
26062-3866
US

V. Phone/Fax

Practice location:
  • Phone: 304-914-3066
  • Fax: 304-224-1080
Mailing address:
  • Phone: 304-914-3066
  • Fax: 304-224-1080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JESAMYN FUSCARDO
Title or Position: OWNER
Credential: DO
Phone: 304-670-0910