Organization · Type 2 NPI

Community Care of West Virginia, Inc.

Federally Qualified Health Center (FQHC) · West Milford, WV

NPI number 1821349309 Active

Practice location

226 School St
West Milford, WV 26451-9700

Fax (304) 745-4488

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	2273-9509 (WV)

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

Other federally qualified health center (fqhc) providers in West Milford

Community Care of West Virginia, Inc.Federally Qualified Health Center (FQHC) West Milford, WV NPI 1558563734

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NPI record

NPI: 1821349309
Entity type: Organization (Type 2)
Issued: Sep 25, 2012
Last updated: Mar 21, 2019
Status: Active
Subpart: Yes of Community Care of West Virginia, Inc.

Other names

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West Milford Elementary School Wellness Center · doing business as
West Milford Elementary School Wellness Center · doing business as

Authorized official

Dora L Potasnik
Credentialing Coordinator
(304) 561-5319

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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 1821349309

Community Care of West Virginia, Inc.'s National Provider Identifier is 1821349309, issued on Sep 25, 2012. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in West Milford, WV. The record was last updated on Mar 21, 2019.