institution
Community Care Of West Virginia, Inc.
Federally Qualified Health Center (FQHC) in Clay, West Virginia
NPI 1093765869

Community Care Of West Virginia, Inc. is a Federally Qualified Health Center (FQHC) based in Clay, WV and is specialized in Federally Qualified Health Center (FQHC). Community Care Of West Virginia, Inc. practices in Clay, WV. The NPI Number for Community Care Of West Virginia, Inc. is 1093765869 and holds a License No. 2267-0579 (West Virginia).

The current practice location address for Community Care Of West Virginia, Inc. is 236 Church St, Clay, WV and can be reached out via phone at 304-587-4375 and via fax at 304-587-4375.

Location: 236 Church St, Clay, WV, 25043-0147
institution
Provider Profile Details
NPI Number
1093765869
Provider Name
Community Care Of West Virginia, Inc.
Credential
Provider Entity Type
Organization
Address
236 Church St, Clay, WV, 25043-0147
Phone Number
304-587-4375
Fax Number
304-587-4375
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0035189005 05 WV
001979216 01 WV MS BCBS
institution
Provider Business Practice Location Address Details
Address
236 Church St
City
State
Zip
25043-9412
Phone Number
304-587-4375
Fax Number
304-587-4375
person
Provider Business Mailing Address Details
Address
236 Church St
City
State
Zip
25043-9412
Phone Number
304-587-4375
Fax Number
304-587-4375
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
2267-0579 (West Virginia)
Definition
Definition to come...
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