NPI 1073944658
Community Care of West Virginia, INC.
Practice location
- Address
- 149 Staunton Drive, Weston, WV 26452
- Phone
- (304) 924-6262
- Fax
- (304) 924-5460
- Mailing address
- 149 Staunton Dr, Weston, WV 26452-5604
Authorised official
- Name
- Dora L Potasnik
- Title
- Credentialing
- Phone
- (304) 317-7275
Registered specialties
Federally Qualified Health Center (FQHC)
Primary
Registry record
- NPI
- 1073944658
- Entity type
- Organization
- NPI issued
- 6 Dec 2013
- Record last updated
- 31 Jan 2025
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.