institution
Community Care Of West Virginia, Inc.
Federally Qualified Health Center (FQHC) in Clay, West Virginia
NPI 1992755789

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 Clay, WV. The NPI Number for Community Care Of West Virginia, Inc. is 1992755789 and holds a License No. 2267-4838 (West Virginia).

The current practice location address for Community Care Of West Virginia, Inc. is One Panther Drive, Clay, WV and can be reached out via phone at 304-587-2867 and via fax at 304-587-2867.

Location: One Panther Drive, Clay, WV, 25043-0147
institution
Provider Profile Details
NPI Number
1992755789
Provider Name
Community Care Of West Virginia, Inc.
Credential
Provider Entity Type
Organization
Address
One Panther Drive, Clay, WV, 25043-0147
Phone Number
304-587-2867
Fax Number
304-587-2867
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001979216 01 WV MS BCBS
0035189006 05 WV
institution
Provider Business Practice Location Address Details
Address
One Panther Drive
City
State
Zip
25043-0729
Phone Number
304-587-2867
Fax Number
304-587-2867
person
Provider Business Mailing Address Details
Address
One Panther Drive
City
State
Zip
25043-0729
Phone Number
304-587-2867
Fax Number
304-587-2867
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
2267-4838 (West Virginia)
Definition
Definition to come...
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