Organization · Type 2 NPI

Community Care of West Virginia, Inc.

Federally Qualified Health Center (FQHC) · Lumberport, WV

NPI number 1649610445 Active

Practice location

Chestnut & Lyndon Streets
Lumberport, WV 26386-0000

Call (304) 326-7020 Map

Fax (304) 584-5943

Mailing address

PO Box 217
Rock Cave, WV 26234-0217

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	2287-3648 (WV)

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

Other federally qualified health center (fqhc) providers in Lumberport

Community Care of West Virginia, Inc.Federally Qualified Health Center (FQHC) Lumberport, WV NPI 1861831323

See all in Lumberport →

NPI record

NPI: 1649610445
Entity type: Organization (Type 2)
Issued: Jun 26, 2013
Last updated: Jun 26, 2013
Status: Active
Subpart: Yes of Community Care of West Virginia, Inc.

Other names

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Lumberport Elementary School Wellness Center · doing business as

Authorized official

Dora L Potasnik
Credentialing
(304) 587-2541

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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 1649610445

Community Care of West Virginia, Inc.'s National Provider Identifier is 1649610445, issued on Jun 26, 2013. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lumberport, WV. The record was last updated on Jun 26, 2013.