institution
Community Care Of West Virginia, Inc.
Federally Qualified Health Center (FQHC) in Bridgeport, West Virginia
NPI 1619348844

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 Bridgeport, WV. The NPI Number for Community Care Of West Virginia, Inc. is 1619348844 and holds a License No. (West Virginia).

The current practice location address for Community Care Of West Virginia, Inc. is 65 Professional Pl Ste 102103, Bridgeport, WV and can be reached out via phone at 304-848-5770 and via fax at 304-848-0890.

Location: 65 Professional Pl Ste 102103, Bridgeport, WV, 26234-0217
institution
Provider Profile Details
NPI Number
1619348844
Provider Name
Community Care Of West Virginia, Inc.
Credential
Provider Entity Type
Organization
Address
65 Professional Pl Ste 102103, Bridgeport, WV, 26234-0217
Phone Number
304-848-5770
Fax Number
304-848-0890
Provider Enumeration Date
10/14/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
65 Professional Pl Ste 102103
City
State
Zip
26330-0258
Phone Number
304-848-5770
Fax Number
304-848-0890
person
Provider Business Mailing Address Details
Address
65 Professional Pl Ste 102103
City
State
Zip
26330-0258
Phone Number
304-848-5770
Fax Number
304-848-0890
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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