| Community Care Connections Of Weston | |
|
133 Staunton Dr Weston WV 26452-5604 | |
| (304) 473-5600 | |
| (304) 472-1341 |
| Full Name | Community Care Connections Of Weston |
|---|---|
| Speciality | Clinic/Center |
| Location | 133 Staunton Dr, Weston, West Virginia |
| Authorized Official Name and Position | Dora L Potasnik (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 3043177275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care Connections Of Weston 133 Staunton Dr Weston WV 26452-5604 Ph: (304) 473-5600 | Community Care Connections Of Weston 133 Staunton Dr Weston WV 26452-5604 Ph: (304) 473-5600 |
| NPI Number | 1275271611 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 12/07/2022 |
| Medicare PECOS PAC ID | 0446232987 |
|---|---|
| Medicare Enrollment ID | O20230418002033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275271611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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