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.
|Practice Location||Rr 1 Box 58, Lost Creek, WV 26385-9707, US|
|Practice Location Phone||304-326-7440|
|Practice Location Fax||304-745-4292|
|Legal Business Name||COMMUNITY CARE OF WEST VIRGINIA, INC.|
|Other Organization Name||SOUTH HARRISON HIGH SCHOOL WELLNESS CENTER|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Sep 25, 2012|
|Last Update Date ?||Oct 2, 2012|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Federally Qualified Health Center (FQHC)||2274-1061||West Virginia|
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/Position||CEO|
|Authorized Official Phone Number||304-924-6262|