Community Care of West Virginia, Inc.

NPI #1194191676 in Rock Cave, West Virginia

Provider Information

NPI Number
1194191676
Entity Type
Organization
Organization Name
Community Care of West Virginia, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Aug 19, 2015
Last Updated
Sep 12, 2024

Practice Location

Address
12292 WV-20
ZIP Code
26234
Phone
(304) 924-5920

Authorized Official

Name
DORA L POTASNIK
Title
CREDENTIALING COORDINATOR
Phone
(304) 317-7275

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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Provider Name
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