COMMUNITY CARE OF WEST VIRGINIA INC. NPI 1619464369

NPI Information

NPI: 1619464369
Provider Name: COMMUNITY CARE OF WEST VIRGINIA, INC.

Doing Business As: COMMUNITY CARE OF WESTON II

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
107 STAUNTON DR
WESTON, WV
ZIP 26452
Phone: (304) 269-2022
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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 1619464369. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Care Of Weston Ii.

The provider's business location address is:

107 STAUNTON DR
WESTON, WV
ZIP 26452-604
Phone: (304) 269-2022
Fax: (304) 269-2037

The provider's authorized official is Dora L Potasnik .
The authorized official title is Credentialing Coordinator and has the following contact phone number (304) 561-5319.

The enumeration date for this NPI number is 4/18/2018 and was last updated on 4/18/2018.

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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