NPI 1043686553

Community Care of West Virginia, INC.

Organisation Federally Qualified Health Center (FQHC) Weston, WV

Practice location

Address: 358 Court Ave, Weston, WV 26452-2008
Phone: (304) 269-0041
Fax: (304) 269-0065
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

Other Clinic/Center providers in West Virginia →

Registry record

NPI: 1043686553
Entity type: Organization
NPI issued: 19 Aug 2015
Record last updated: 25 Aug 2015

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.