Organization · Type 2 NPI

Community Care of West Virginia, Inc.

Federally Qualified Health Center (FQHC) · Shinnston, WV

NPI number 1649610437 Active

Practice location

200 Tetrick Rd
Shinnston, WV 26431-9704

Fax (304) 326-7293

Mailing address

PO Box 217
Rock Cave, WV 26234-0217

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400X2287-8118 (WV)

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

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About NPI 1649610437

Community Care of West Virginia, Inc.'s National Provider Identifier is 1649610437, issued on Jun 26, 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 26, 2013.