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Contact Information

COMMUNITY CARE OF WEST VIRGINIA, INC.
107 STAUNTON DR
WESTON, WV26452
 Phone: 304-269-9555
 Fax: 304-269-8409
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

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

NPI # 1184022428
LBN Legal business name COMMUNITY CARE OF WEST VIRGINIA, INC.
Authorized official RICHARD SIMON - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/19/2014
Last updated 02/13/2019 - About 7 years ago
Identifiers
WV License # SPO552482
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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