institution
Community Care Of West Virginia, Inc.
Federally Qualified Health Center (FQHC) in Rock Cave, West Virginia
NPI 1912932526

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 Rock Cave, WV. The NPI Number for Community Care Of West Virginia, Inc. is 1912932526 and holds a License No. (West Virginia).

The current practice location address for Community Care Of West Virginia, Inc. is 78 Queens Alley Rd, Rock Cave, WV and can be reached out via phone at 304-924-6262 and via fax at 304-924-5460.

Location: 78 Queens Alley Rd, Rock Cave, WV, 26234-0217
institution
Provider Profile Details
NPI Number
1912932526
Provider Name
Community Care Of West Virginia, Inc.
Credential
Provider Entity Type
Organization
Address
78 Queens Alley Rd, Rock Cave, WV, 26234-0217
Phone Number
304-924-6262
Fax Number
304-924-5460
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001709743 01 WV MS BCBS
1912932526 05 WV
CL3758 01 WV RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
78 Queens Alley Rd
City
State
Zip
26234-5890
Phone Number
304-924-6262
Fax Number
304-924-5460
person
Provider Business Mailing Address Details
Address
78 Queens Alley Rd
City
State
Zip
26234-5890
Phone Number
304-924-6262
Fax Number
304-924-5460
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
(West Virginia)
Definition
Definition to come...
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