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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