Community Care of West Virginia, Inc.
NPI #1043567456 in Dunmore, West Virginia
Provider Information
- NPI Number
- 1043567456
- Entity Type
- Organization
- Organization Name
- Community Care of West Virginia, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- COMMUNITY CARE OF WEST VIRGINIA, INC.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Aug 6, 2012
- Last Updated
- Aug 6, 2012
Practice Location
- Address
- RR 1 BOX 133A
- City
- Dunmore
- State
- West Virginia
- ZIP Code
- 24934-9708
- Phone
- (304) 799-6564
Authorized Official
- Name
- RICHARD G SIMON
- Title
- CEO
- Phone
- (304) 924-6262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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