Organization · Type 2 NPI

Community Care of West Virginia, Inc.

Federally Qualified Health Center (FQHC) · Green Bank, WV

NPI number 1164557237 Active

Practice location

90 Route 28
Green Bank, WV 24944-0085

Call (304) 456-5115 Map

Fax (304) 456-5117

Mailing address

PO Box 217
Rock Cave, WV 26234

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

Other federally qualified health center (fqhc) providers in Green Bank

Community Care of West Virginia, Inc.Federally Qualified Health Center (FQHC) Green Bank, WV NPI 1194073486
Community Care of West Virginia, Inc.Federally Qualified Health Center (FQHC) Green Bank, WV NPI 1427305911

See all in Green Bank →

NPI record

NPI: 1164557237
Entity type: Organization (Type 2)
Issued: Feb 22, 2007
Last updated: Jan 25, 2012
Status: Active
Subpart: Yes of Community Care of West Virginia, Inc.

Other names

<unavail>
Community Care of Green Bank · doing business as

Authorized official

Connie Simmons
COO CFO
(304) 924-6262

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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 1164557237

Community Care of West Virginia, Inc.'s National Provider Identifier is 1164557237, issued on Feb 22, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Green Bank, WV. The record was last updated on Jan 25, 2012.