Organization · Type 2 NPI

Community Care of West Virginia, Inc.

Federally Qualified Health Center (FQHC) · Clay, WV

NPI number 1093765869 Active

Practice location

236 Church St
Clay, WV 25043-9412

Call (304) 587-4375 Map

Fax (304) 587-4375

Mailing address

PO Box 147
Clay, WV 25043-0147

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	2267-0579 (WV)

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

Another provider at this address

Alexandra CadleSocial Worker Clay, WV NPI 1255911426

Other federally qualified health center (fqhc) providers in Clay

See all in Clay →

NPI record

NPI: 1093765869
Entity type: Organization (Type 2)
Issued: May 11, 2006
Last updated: Feb 6, 2013
Status: Active
Subpart: Yes of Community Care of West Virginia, Inc.

Other names

<unavail>
Clay County Middle School Wellness Center · doing business as

Authorized official

Dora L Potasnik
Credentialing
(304) 587-2541

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093765869

Community Care of West Virginia, Inc.'s National Provider Identifier is 1093765869, issued on May 11, 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 Feb 6, 2013.