NPI 1619464369

Community Care of West Virginia, INC.

Organisation Federally Qualified Health Center (FQHC) Weston, WV

Practice location

Address: 107 Staunton Dr, Weston, WV 26452-5604
Phone: (304) 269-2022
Fax: (304) 269-2037
Mailing address: 249 Skidmore Ln, Sutton, WV 26601-9272

Authorised official

Name: Dora L Potasnik
Title: Credentialing Coordinator
Phone: (304) 561-5319

Registered specialties

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X

Other Clinic/Center providers in West Virginia →

Registry record

NPI: 1619464369
Entity type: Organization
NPI issued: 18 Apr 2018
Record last updated: 18 Apr 2018

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.