Organization
COMMUNITY CARE OF WEST VIRGINIA, INC.
Active
Parent organization
COMMUNITY CARE OF WEST VIRGINIA, INC.
Other names
Buckhannon Academy Elementary School Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY CARE OF WEST VIRGINIA, INC.
Authorized official
RICHARD G SIMON (CEO)
(304) 924-6262
Entity
Organization
Contact information
Practice address
16 COLLEGE AVE, BUCKHANNON, WV 26201-2628
(304) 472-3310
(304) 472-3790
Mailing address
16 COLLEGE AVE, BUCKHANNON, WV 26201-2628
(304) 472-3310
(304) 472-3790
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/17/2012
Last updated
08/17/2012
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