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Community Care Of West Virginia, Inc.

Community Care Of West Virginia, Inc. is a health care provider in Lost Creek, WV. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location Rr 1 Box 58, Lost Creek, WV 26385-9707, US
Practice Location Phone304-326-7440
Practice Location Fax304-745-4292
Legal Business NameCOMMUNITY CARE OF WEST VIRGINIA, INC.
Other Organization NameSOUTH HARRISON HIGH SCHOOL WELLNESS CENTER
Other Organization Name TypeDoing Business As Name
NPI ?1912258492
Entity TypeOrganization
Enumeration Date ? Sep 25, 2012
Last Update Date ? Oct 2, 2012
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Community Care Of West Virginia, Inc.

SpecialtySpecializationLicenseLicense State
Clinic/CenterFederally Qualified Health Center (FQHC) 2274-1061West Virginia

official-icon Authorized Official of Community Care Of West Virginia, Inc.

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Community Care Of West Virginia, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Richard G Simon
Authorized Official Title/PositionCEO
Authorized Official Phone Number304-924-6262