institution
Community Care Of West Virginia, Inc.
Federally Qualified Health Center (FQHC) in Lost Creek, West Virginia
NPI 1912258492

Community Care Of West Virginia, Inc. is a Federally Qualified Health Center (FQHC) based in Lost Creek, WV and is specialized in Federally Qualified Health Center (FQHC). Community Care Of West Virginia, Inc. practices in Lost Creek, WV. The NPI Number for Community Care Of West Virginia, Inc. is 1912258492 and holds a License No. 2274-1061 (West Virginia).

The current practice location address for Community Care Of West Virginia, Inc. is Rr 1 Box 58, Lost Creek, WV and can be reached out via phone at 304-326-7440 and via fax at 304-745-4292.

Location: Rr 1 Box 58, Lost Creek, WV, 26385-9707
institution
Provider Profile Details
NPI Number
1912258492
Provider Name
Community Care Of West Virginia, Inc.
Credential
Provider Entity Type
Organization
Address
Rr 1 Box 58, Lost Creek, WV, 26385-9707
Phone Number
304-326-7440
Fax Number
304-745-4292
Provider Enumeration Date
09/25/2012
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
Rr 1 Box 58
City
State
Zip
26385-9707
Phone Number
304-326-7440
Fax Number
304-745-4292
person
Provider Business Mailing Address Details
Address
Rr 1 Box 58
City
State
Zip
26385-9707
Phone Number
304-326-7440
Fax Number
304-745-4292
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
2274-1061 (West Virginia)
Definition
Definition to come...
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