Organization · Type 2 NPI
Community Care of West Virginia, Inc.
Federally Qualified Health Center (FQHC) · Roanoke, WV
NPI number
1104292168
Active
Practice location
1176 Oil Creek Rd
Roanoke, WV 26447-8263
Fax (304) 452-0002
Mailing address
PO Box 217
Rock Cave, WV 26234-0217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1104292168
Community Care of West Virginia, Inc.'s National Provider Identifier is 1104292168, issued on Aug 13, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Roanoke, WV. The record was last updated on Aug 25, 2015.