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Organization

COMMUNITY CARE OF WEST VIRGINIA, INC.

Active
Parent organization
COMMUNITY CARE OF WEST VIRGINIA, INC.
Other names
Marlinton 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
926A 5TH AVE, MARLINTON, WV 24954-1209
(304) 799-6551
(304) 799-6552
Mailing address
926A 5TH AVE, MARLINTON, WV 24954-1209
(304) 799-6551
(304) 799-6552

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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