institution
Community Care Of West Virginia, Inc.
Federally Qualified Health Center (FQHC) in Shinnston, West Virginia
NPI 1649610437

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 Shinnston, WV. The NPI Number for Community Care Of West Virginia, Inc. is 1649610437 and holds a License No. 2287-8118 (West Virginia).

The current practice location address for Community Care Of West Virginia, Inc. is 200 Tetrick Rd, Shinnston, WV and can be reached out via phone at 304-326-7280 and via fax at 304-326-7293.

Location: 200 Tetrick Rd, Shinnston, WV, 26234-0217
institution
Provider Profile Details
NPI Number
1649610437
Provider Name
Community Care Of West Virginia, Inc.
Credential
Provider Entity Type
Organization
Address
200 Tetrick Rd, Shinnston, WV, 26234-0217
Phone Number
304-326-7280
Fax Number
304-326-7293
Provider Enumeration Date
06/26/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2287-8118 01 WV BUSINESS LICENSE
institution
Provider Business Practice Location Address Details
Address
200 Tetrick Rd
City
State
Zip
26431-9704
Phone Number
304-326-7280
Fax Number
304-326-7293
person
Provider Business Mailing Address Details
Address
200 Tetrick Rd
City
State
Zip
26431-9704
Phone Number
304-326-7280
Fax Number
304-326-7293
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
2287-8118 (West Virginia)
Definition
Definition to come...
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