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

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone 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.