National Provider Identifier Database

COMMUNITY CARE OF WEST VIRGINIA INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

COMMUNITY CARE OF WEST VIRGINIA, INC.
12292 WV-20
ROCK CAVE, WV26234
Phone: 304-924-5920
Fax: 304-924-5922
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for COMMUNITY CARE OF WEST VIRGINIA, INC.

NPI Number 1194191676
Legal business name
LBN
COMMUNITY CARE OF WEST VIRGINIA, INC.
Authorized official DORA POTASNIK - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 08/19/2015
Last updated 09/12/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • WV Other: 2467-6966 WV STATE TAX DEPT

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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