institution
Community Care Of West Virginia, Inc.
Federally Qualified Health Center (FQHC) in Gassaway, West Virginia
NPI 1447699723

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 Gassaway, WV. The NPI Number for Community Care Of West Virginia, Inc. is 1447699723 and holds a License No. 2287-8808 (West Virginia).

The current practice location address for Community Care Of West Virginia, Inc. is 113 5Th St, Gassaway, WV and can be reached out via phone at 304-364-5291 and via fax at 304-364-8547.

Location: 113 5Th St, Gassaway, WV, 26234-0217
institution
Provider Profile Details
NPI Number
1447699723
Provider Name
Community Care Of West Virginia, Inc.
Credential
Provider Entity Type
Organization
Address
113 5Th St, Gassaway, WV, 26234-0217
Phone Number
304-364-5291
Fax Number
304-364-8547
Provider Enumeration Date
06/19/2013
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2287-8808 01 WV BUSINESS LICENSE
institution
Provider Business Practice Location Address Details
Address
113 5Th St
City
State
Zip
26624-1224
Phone Number
304-364-5291
Fax Number
304-364-8547
person
Provider Business Mailing Address Details
Address
113 5Th St
City
State
Zip
26624-1224
Phone Number
304-364-5291
Fax Number
304-364-8547
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
2287-8808 (West Virginia)
Definition
Definition to come...
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