COMMUNITY CARE OF WEST VIRGINIA INC. NPI 1043686553

NPI Information

NPI: 1043686553
Provider Name: COMMUNITY CARE OF WEST VIRGINIA, INC.

Doing Business As: ROBERT BLAND MIDDLE SCHOOL WELLNESS CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
358 COURT AVE
WESTON, WV
ZIP 26452
Phone: (304) 269-0041
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COMMUNITY CARE OF WEST VIRGINIA, INC. is a federally qualified health center (fqhc) clinic center in Weston, WV. COMMUNITY CARE OF WEST VIRGINIA, INC. NPI is 1043686553. The provider is registered as an organization entity type.
The provider Is Doing Business As Robert Bland Middle School Wellness Center.

The provider's business location address is:

358 COURT AVE
WESTON, WV
ZIP 26452-008
Phone: (304) 269-0041
Fax: (304) 269-0065

The provider's authorized official is Dora L Potasnik .
The authorized official title is Credentialing and has the following contact phone number (304) 587-2541.

The enumeration date for this NPI number is 8/19/2015 and was last updated on 8/25/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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