| Community Care Of Weston | |
|
149 Staunton Drive Weston WV 26452 | |
| (304) 924-6262 | |
| (304) 924-5460 |
| Full Name | Community Care Of Weston |
|---|---|
| Speciality | Clinic/Center |
| Location | 149 Staunton Drive, Weston, West Virginia |
| Authorized Official Name and Position | Dora L Potasnik (CREDENTIALING) |
| 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 Of Weston 149 Staunton Dr Weston WV 26452-5604 Ph: (304) 269-5510 | Community Care Of Weston 149 Staunton Drive Weston WV 26452 Ph: (304) 924-6262 |
| NPI Number | 1073944658 |
|---|---|
| Provider Enumeration Date | 12/06/2013 |
| Last Update Date | 01/19/2024 |
| Medicare PECOS PAC ID | 0446232987 |
|---|---|
| Medicare Enrollment ID | O20131227001130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073944658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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