Community Care of West Virginia, Inc.
Doing business as Big Otter Clinic
Federally qualified health center in Ivydale, WV, Medicare certification number 511864.
Medicare certification
Provider of Services- CCN
- 511864
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Mar 17, 1998
- Last certification
- Mar 17, 1998
- Most recent change of ownership
- Sep 1, 2012 (1 total)
- Address
- 797 Clinic Drive
Ivydale, WV 25113
(304) 587-7301
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Community Care of Big Otter
- Federally Qualified Health Center (FQHC)
- Ivydale, WV
- NPI 1992754592
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.