NPI 1275271611

Community Care of West Virginia, INC.

Organisation Federally Qualified Health Center (FQHC) Weston, WV

Practice location

Address: 133 Staunton Dr, Weston, WV 26452-5604
Phone: (304) 473-5600
Fax: (304) 472-1341

Authorised official

Name: Dora L Potasnik
Title: Credentialing Coordinator
Phone: (304) 317-7275

Registered specialties

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X

Other Clinic/Center providers in West Virginia →

Registry record

NPI: 1275271611
Entity type: Organization
NPI issued: 25 May 2022
Record last updated: 7 Dec 2022

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.