institution
Community Care Of West Virginia, Inc.
Federally Qualified Health Center (FQHC) in Buckhannon, West Virginia
NPI 1114277050

Community Care Of West Virginia, Inc. is a Federally Qualified Health Center (FQHC) based in Buckhannon, WV and is specialized in Federally Qualified Health Center (FQHC). Community Care Of West Virginia, Inc. practices in Buckhannon, WV. The NPI Number for Community Care Of West Virginia, Inc. is 1114277050 and holds a License No. 2274-1060 (West Virginia).

The current practice location address for Community Care Of West Virginia, Inc. is 77 W Main St, Buckhannon, WV and can be reached out via phone at 304-473-5600 and via fax at 304-472-1341.

Location: 77 W Main St, Buckhannon, WV, 26201-2236
institution
Provider Profile Details
NPI Number
1114277050
Provider Name
Community Care Of West Virginia, Inc.
Credential
Provider Entity Type
Organization
Address
77 W Main St, Buckhannon, WV, 26201-2236
Phone Number
304-473-5600
Fax Number
304-472-1341
Provider Enumeration Date
09/19/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2198-9937 01 WV WV BUSINESS REGISTRATION CERTIFICATE
institution
Provider Business Practice Location Address Details
Address
77 W Main St
City
State
Zip
26201-2236
Phone Number
304-473-5600
Fax Number
304-472-1341
person
Provider Business Mailing Address Details
Address
77 W Main St
City
State
Zip
26201-2236
Phone Number
304-473-5600
Fax Number
304-472-1341
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
2274-1060 (West Virginia)
Definition
Definition to come...
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