Organization · Type 2 NPI

Community Care of West Virginia, Inc.

Federally Qualified Health Center (FQHC) · Marlinton, WV

NPI number 1164653457 Active

Practice location

821 3rd Ave
Marlinton, WV 24954-1015

Call (304) 799-4404 Map

Fax (304) 799-4425

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...

6 other providers at this address

Community Care of West Virginia, Inc.Community/Retail Pharmacy Marlinton, WV NPI 1497581078
Pocahontas County Senior Citizens, IncNon-emergency Medical Transport (VAN) Marlinton, WV NPI 1205955721
Pocahontas County Senior Citizens, IncPublic Health or Welfare Agency Marlinton, WV NPI 1639207913
Pocahontas County Senior Citizens, IncPublic Health or Welfare Agency Marlinton, WV NPI 1801915335
Kayla Nicole Lester, PA-CPhysician Assistant Marlinton, WV NPI 1649932880
Kristen Nicole WithersFamily Nurse Practitioner Marlinton, WV NPI 1104591015

Other federally qualified health center (fqhc) providers in Marlinton

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NPI record

NPI: 1164653457
Entity type: Organization (Type 2)
Issued: Aug 4, 2009
Last updated: Jun 11, 2013
Status: Active
Subpart: Yes of Community Care of West Virginia, Inc.

Other names

<unavail>
Community Care of Marlinton · 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 1164653457

Community Care of West Virginia, Inc.'s National Provider Identifier is 1164653457, issued on Aug 4, 2009. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Marlinton, WV. The record was last updated on Jun 11, 2013.