institution
Community Care Of West Virginia, Inc.
Federally Qualified Health Center (FQHC) in Buckhannon, West Virginia
NPI 1811366248

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 Buckhannon, WV. The NPI Number for Community Care Of West Virginia, Inc. is 1811366248 and holds a License No. (West Virginia).

The current practice location address for Community Care Of West Virginia, Inc. is 167 Gawthrop Rd, Buckhannon, WV and can be reached out via phone at 304-473-5690 and via fax at 304-473-5692.

Location: 167 Gawthrop Rd, Buckhannon, WV, 26234-0217
institution
Provider Profile Details
NPI Number
1811366248
Provider Name
Community Care Of West Virginia, Inc.
Credential
Provider Entity Type
Organization
Address
167 Gawthrop Rd, Buckhannon, WV, 26234-0217
Phone Number
304-473-5690
Fax Number
304-473-5692
Provider Enumeration Date
09/16/2015
Last Update Date
02/15/2025
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2468-5535 01 WV WV STATE TAX DEPT
institution
Provider Business Practice Location Address Details
Address
167 Gawthrop Rd
City
State
Zip
26201-3927
Phone Number
304-473-5690
Fax Number
304-473-5692
person
Provider Business Mailing Address Details
Address
167 Gawthrop Rd
City
State
Zip
26201-3927
Phone Number
304-473-5690
Fax Number
304-473-5692
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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