NPI 1003256801

Community Care of West Virginia, INC.

Organisation Federally Qualified Health Center (FQHC) Nutter Fort, WV

Practice location

Address: 1302 Buckhannon Pike, Nutter Fort, WV 26301-4406
Phone: (304) 624-3275
Fax: (304) 624-3382
Mailing address: PO Box 217, Rock Cave, WV 26234-0217

Authorised official

Name: Dora L Potasnik
Title: Credentialing
Phone: (304) 587-2541

Registered specialties

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X Licence 2287-7375 (WV)

Other Clinic/Center providers in West Virginia →

Registry record

NPI: 1003256801
Entity type: Organization
NPI issued: 26 Jun 2013
Record last updated: 26 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.