Organization · Type 2 NPI

Community Care of West Virginia, Inc.

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

NPI number 1194073486 Active

Practice location

RR 1 Box 5
Green Bank, WV 24944-9703

Fax (304) 456-5162

Specialties and licenses

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

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

Another provider at this address

Jennifer L. Chestnut, M.S. SLPSpeech-Language Pathologist Green Bank, WV NPI 1427209089

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

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NPI record

NPI: 1194073486
Entity type: Organization (Type 2)
Issued: Aug 17, 2012
Last updated: Aug 17, 2012
Status: Active
Subpart: Yes of Community Care of West Virginia, Inc.

Other names

<unavail>
Green Bank Elementary-Middle School Wellness Center · doing business as

Authorized official

Richard G Simon
CEO
(304) 924-6262

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 1194073486

Community Care of West Virginia, Inc.'s National Provider Identifier is 1194073486, issued on Aug 17, 2012. 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 Aug 17, 2012.