COMMUNITY CARE OF WEST VIRGINIA, INC. is a federally qualified health center (fqhc) clinic center in Bridgeport, WV. COMMUNITY CARE OF WEST VIRGINIA, INC. NPI is 1912392358. The provider is registered as an organization entity type.
The provider Is Doing Business As Johnson Elementary School Wellness Center.
The provider's business location address is:
531 JOHNSON AVE
BRIDGEPORT, WV
ZIP 26330-311
Phone: (304) 326-7109
Fax: (304) 587-2594
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 4/2/2015 and was last updated on 4/2/2015.