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Organization

COMMUNITY CARE OF WEST VIRGINIA, INC.

Active
Parent organization
COMMUNITY CARE OF WEST VIRGINIA, INC.
Other names
CareXpress of Weston
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMMUNITY CARE OF WEST VIRGINIA, INC.
Authorized official
DORA L POTASNIK (CREDENTIALING)
(304) 317-7275
Entity
Organization

Contact information

Practice address
149 STAUNTON DRIVE, WESTON, WV 26452
(304) 924-6262
(304) 924-5460
Mailing address
149 STAUNTON DR, WESTON, WV 26452-5604
(304) 269-5510
(304) 269-2037

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
12/06/2013
Last updated
01/31/2025
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