Organization
COMMUNITY CARE OF WEST VIRGINIA, INC.
Active
Parent organization
COMMUNITY CARE OF WEST VIRGINIA, INC.
Other names
Community Care Connections of Flatwoods
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
235 SKIDMORE LN, SUTTON, WV 26601-9272
(304) 765-4400
(304) 765-0354
Mailing address
235 SKIDMORE LN, SUTTON, WV 26601-9272
(304) 765-4400
(304) 765-0354
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/05/2008
Last updated
07/25/2023
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