institution
Community Care Of West Virginia, Inc.
Federally Qualified Health Center (FQHC) in Bridgeport, West Virginia
NPI 1669868931

Community Care Of West Virginia, Inc. is a Federally Qualified Health Center (FQHC) based in Clay, 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 1669868931 and holds a License No. (West Virginia).

The current practice location address for Community Care Of West Virginia, Inc. is 413 Johnson Ave, Bridgeport, WV and can be reached out via phone at 304-326-7142 and via fax at 304-587-2594.

Location: 413 Johnson Ave, Bridgeport, WV, 25043-0147
institution
Provider Profile Details
NPI Number
1669868931
Provider Name
Community Care Of West Virginia, Inc.
Credential
Provider Entity Type
Organization
Address
413 Johnson Ave, Bridgeport, WV, 25043-0147
Phone Number
304-326-7142
Fax Number
304-587-2594
Provider Enumeration Date
04/13/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
413 Johnson Ave
City
State
Zip
26330-1309
Phone Number
304-326-7142
Fax Number
304-587-2594
person
Provider Business Mailing Address Details
Address
413 Johnson Ave
City
State
Zip
26330-1309
Phone Number
304-326-7142
Fax Number
304-587-2594
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
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