Community Care Of West Virginia, Inc. | |
70 Graceland Drive Elkins WV 26241 | |
(304) 473-5600 | |
Not Available |
Full Name | Community Care Of West Virginia, Inc. |
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Speciality | Clinic/Center |
Location | 70 Graceland Drive, Elkins, West Virginia |
Authorized Official Name and Position | Hillary Tenney (CREDENTIALING COORTINATOR) |
Authorized Official Contact | 3043177425 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Care Of West Virginia, Inc. 70 Graceland Drive Elkins WV 26241 Ph: () - | Community Care Of West Virginia, Inc. 70 Graceland Drive Elkins WV 26241 Ph: (304) 473-5600 |
NPI Number | 1235877267 |
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Provider Enumeration Date | 05/20/2022 |
Last Update Date | 05/20/2022 |
Medicare PECOS PAC ID | 0446232987 |
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Medicare Enrollment ID | O20220615003313 |
Identifier | Type | State | Issuer |
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1235877267 | NPI | - | NPPES |
2427-1445 | Other | WV | BUSINESS LICENSE |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
West Virginia Gastroenterology & Endoscopy Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 213 Main St, Elkins, WV 26241 Phone: 304-637-2360 Fax: 304-637-2362 | |
Valley Health Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 308 Robert E Lee Ave, Elkins, WV 26241 Phone: 304-335-2050 | |