institution
Community Care Of West Virginia, Inc.
Federally Qualified Health Center (FQHC) in Lumberport, West Virginia
NPI 1861831323

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 Lumberport, WV. The NPI Number for Community Care Of West Virginia, Inc. is 1861831323 and holds a License No. 2287-8807 (West Virginia).

The current practice location address for Community Care Of West Virginia, Inc. is 314 Main St, Lumberport, WV and can be reached out via phone at 304-326-7540 and via fax at 304-584-4602.

Location: 314 Main St, Lumberport, WV, 26234-0217
institution
Provider Profile Details
NPI Number
1861831323
Provider Name
Community Care Of West Virginia, Inc.
Credential
Provider Entity Type
Organization
Address
314 Main St, Lumberport, WV, 26234-0217
Phone Number
304-326-7540
Fax Number
304-584-4602
Provider Enumeration Date
06/18/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2287-8807 01 WV BUSINESS LICENSE
institution
Provider Business Practice Location Address Details
Address
314 Main St
City
State
Zip
26386-8000
Phone Number
304-326-7540
Fax Number
304-584-4602
person
Provider Business Mailing Address Details
Address
314 Main St
City
State
Zip
26386-8000
Phone Number
304-326-7540
Fax Number
304-584-4602
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
2287-8807 (West Virginia)
Definition
Definition to come...
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