Organization
COMMUNITY CARE OF WEST VIRGINIA, INC.
Active
Organization
COMMUNITY CARE OF WEST VIRGINIA, INC.
Active
Other names
Davis & Elkins College Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
HILLARY TENNEY (CREDENTIALING COORTINATOR)
(304) 317-7425
Entity
Organization
Contact information
Practice address
70 GRACELAND DRIVE, ELKINS, WV 26241
(304) 473-5600
Mailing address
70 GRACELAND DRIVE, ELKINS, WV 26241
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2427-1445
BUSINESS LICENSE
WV
Enumeration date
05/20/2022
Last updated
05/20/2022
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