Community Care of West Virginia, Inc.
NPI #1558752824 in Salem, West Virginia
Provider Information
- NPI Number
- 1558752824
- 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
- Feb 9, 2015
- Last Updated
- Feb 9, 2015
Practice Location
- Address
- RR 1 BOX 10A
- City
- Salem
- State
- West Virginia
- ZIP Code
- 26426-9703
- Phone
- (304) 316-7180
Authorized Official
- Name
- DORA L POTASNIK
- Title
- CREDENTIALING
- Phone
- (304) 587-2541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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