Organization
COMMUNITY CARE OF WEST VIRGINIA, INC.
Active
Organization
COMMUNITY CARE OF WEST VIRGINIA, INC.
Active
Other names
West Virginia Wesleyan College Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DORA L POTASNIK (CREDENTIALING COORDINATOR)
(304) 561-5319
Entity
Organization
Contact information
Practice address
59 COLLEGE AVE, BUCKHANNON, WV 26201-2600
(304) 924-6262
(304) 924-5460
Mailing address
59 COLLEGE AVE, BUCKHANNON, WV 26201-2600
(304) 924-6262
(304) 924-5460
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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