Organization · Type 2 NPI

Community Care of West Virginia, Inc.

Federally Qualified Health Center (FQHC) · Clay, WV

NPI number 1073562641 Active

Practice location

122 Center St
Clay, WV 25043-7046

Fax (304) 587-2594

Mailing address

PO Box 147
Clay, WV 25043-0147

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400X1038-3999 (WV)

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1073562641

Community Care of West Virginia, Inc.'s National Provider Identifier is 1073562641, issued on May 9, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Clay, WV. The record was last updated on Jan 19, 2024.