Organization · Type 2 NPI
Community Care of West Virginia, Inc.
Federally Qualified Health Center (FQHC) · Bridgeport, WV
NPI number
1669868931
Active
Practice location
413 Johnson Ave
Bridgeport, WV 26330-1309
Fax (304) 587-2594
Mailing address
PO Box 147
Clay, WV 25043-0147
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 Bridgeport
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About NPI 1669868931
Community Care of West Virginia, Inc.'s National Provider Identifier is 1669868931, issued on Apr 13, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Bridgeport, WV. The record was last updated on Apr 13, 2015.