institution
Community Care Of West Virginia, Inc.
Federally Qualified Health Center (FQHC) in Green Bank, West Virginia
NPI 1164557237

Community Care Of West Virginia, Inc. is a Federally Qualified Health Center (FQHC) based in Rock Cave, WV and is specialized in Federally Qualified Health Center (FQHC). Community Care Of West Virginia, Inc. practices in Green Bank, WV. The NPI Number for Community Care Of West Virginia, Inc. is 1164557237 and holds a License No. (West Virginia).

The current practice location address for Community Care Of West Virginia, Inc. is 90 Route 28, Green Bank, WV and can be reached out via phone at 304-456-5115 and via fax at 304-456-5117.

Location: 90 Route 28, Green Bank, WV, 26234
institution
Provider Profile Details
NPI Number
1164557237
Provider Name
Community Care Of West Virginia, Inc.
Credential
Provider Entity Type
Organization
Address
90 Route 28, Green Bank, WV, 26234
Phone Number
304-456-5115
Fax Number
304-456-5117
Provider Enumeration Date
02/22/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810010087 05 WV
institution
Provider Business Practice Location Address Details
Address
90 Route 28
City
State
Zip
24944-0085
Phone Number
304-456-5115
Fax Number
304-456-5117
person
Provider Business Mailing Address Details
Address
90 Route 28
City
State
Zip
24944-0085
Phone Number
304-456-5115
Fax Number
304-456-5117
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
(West Virginia)
Definition
Definition to come...
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