Organization · Type 2 NPI

Community Care of West Virginia, Inc.

Federally Qualified Health Center (FQHC) · Rock Cave, WV

NPI number 1194191676 Active

Practice location

12292 WV-20
Rock Cave, WV 26234

Call (304) 924-5920 Map

Fax (304) 924-5922

Mailing address

PO Box 217
Rock Cave, WV 26234-0217

Other practice locations

1 Lizemore Street, Lizemores, WV 25125 · (304) 587-4823

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 Rock Cave

Community Care of West Virginia, Inc.Federally Qualified Health Center (FQHC) Rock Cave, WV NPI 1912932526

See all in Rock Cave →

NPI record

NPI: 1194191676
Entity type: Organization (Type 2)
Issued: Aug 19, 2015
Last updated: Sep 12, 2024
Status: Active

Other names

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Rock Cave Elementary School Wellness Center · doing business as
Rock Cave Elementary School Wellness Center · doing business as

Authorized official

Dora L Potasnik
Credentialing Coordinator
(304) 317-7275

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 1194191676

Community Care of West Virginia, Inc.'s National Provider Identifier is 1194191676, issued on Aug 19, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Rock Cave, WV. The record was last updated on Sep 12, 2024.