Organization
COMMUNITY CARE OF WEST VIRGINIA, INC.
Active
Parent organization
COMMUNITY CARE OF WEST VIRGINIA, INC.
Other names
Community Care 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
266 SKIDMORE LN, SUTTON, WV 26601-9271
(394) 765-0351
(304) 765-7019
Mailing address
266 SKIDMORE LN, SUTTON, WV 26601-9271
(394) 765-0351
(304) 765-7019
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/28/2013
Last updated
01/19/2024
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