COMMUNITY CARE OF WEST VIRGINIA, INC.; NPI #1235877267

Contact Information

COMMUNITY CARE OF WEST VIRGINIA, INC.

70 GRACELAND DRIVE
ELKINS, WV 26241

Phone: 304-473-5600
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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

NPI Number 1235877267

LBN Legal business name COMMUNITY CARE OF WEST VIRGINIA, INC.

Authorized official HILLARY TENNEY - (CREDENTIALING COORTINATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/20/2022

Last updated 05/20/2022 - About 4 years ago

Identifiers

Other

2427-1445

BUSINESS LICENSE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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