| Community Care Of West Virginia Inc | |
|
431 Cass Rd Slatyfork WV 26291-9014 | |
| (304) 473-5600 | |
| (304) 472-1341 |
| Full Name | Community Care Of West Virginia Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 431 Cass Rd, Slatyfork, West Virginia |
| Authorized Official Name and Position | Dora L Potasnik (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 3043177275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care Of West Virginia Inc 431 Cass Rd Slatyfork WV 26291-9014 Ph: (304) 473-5600 | Community Care Of West Virginia Inc 431 Cass Rd Slatyfork WV 26291-9014 Ph: (304) 473-5600 |
| NPI Number | 1215741665 |
|---|---|
| Provider Enumeration Date | 02/05/2025 |
| Last Update Date | 02/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215741665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |