Organization · Type 2 NPI

Community Care of West Virginia, Inc.

Federally Qualified Health Center (FQHC) · Shinnston, WV

NPI number 1548609092 Active

Practice location

100 Jerry Toth Dr
Shinnston, WV 26431-1903

Call (304) 326-7400 Map

Fax (304) 592-3415

Mailing address

PO Box 217
Rock Cave, WV 26234-0217

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	2287-8117 (WV)

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

Other federally qualified health center (fqhc) providers in Shinnston

Community Care of West Virginia, Inc.Federally Qualified Health Center (FQHC) Shinnston, WV NPI 1649610437
Monongahela Valley Association of Health Centers, Inc.Federally Qualified Health Center (FQHC) Shinnston, WV NPI 1710165568

See all in Shinnston →

NPI record

NPI: 1548609092
Entity type: Organization (Type 2)
Issued: Jun 18, 2013
Last updated: Jun 18, 2013
Status: Active
Subpart: Yes of Community Care of West Virginia, Inc.

Other names

<unavail>
Lincoln High School Wellness Center · 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 1548609092

Community Care of West Virginia, Inc.'s National Provider Identifier is 1548609092, issued on Jun 18, 2013. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Shinnston, WV. The record was last updated on Jun 18, 2013.