Community Care of West Virginia, Inc.
NPI #1609386978 in Linn, West Virginia
Provider Information
- NPI Number
- 1609386978
- 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
- Oct 2, 2017
- Last Updated
- Oct 2, 2017
Practice Location
- Address
- 15300 US HIGHWAY 33 W
- City
- Linn
- State
- West Virginia
- ZIP Code
- 26384-9322
- Phone
- (304) 924-6262
Authorized Official
- Name
- DORA L POTASNIK
- Title
- CREDENTIALING COORDINATOR
- Phone
- (304) 587-2541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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