Organization · Type 2 NPI

Community Care of West Virginia, Inc.

Federally Qualified Health Center (FQHC) · Flatwoods, WV

NPI number 1962912261 Active

Practice location

142 Flatwoods Corner Road
Flatwoods, WV 26621

Call (304) 924-6262 Map

Fax (304) 924-5460

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...

NPI record

NPI: 1962912261
Entity type: Organization (Type 2)
Issued: Oct 2, 2017
Last updated: Oct 2, 2017
Status: Active
Subpart: Yes of Community Care of West Virginia, Inc.

Other names

<unavail>
Flatwoods Elementary School Wellness Center · doing business as

Authorized official

Dora L Potasnik
Credentialing Coordinator
(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 1962912261

Community Care of West Virginia, Inc.'s National Provider Identifier is 1962912261, issued on Oct 2, 2017. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Flatwoods, WV. The record was last updated on Oct 2, 2017.