Community Care of West Virginia, Inc.

Organization Active NPI Federally Qualified Health Center (FQHC) · Hillsboro, WV

NPI 1134538762 · NPPES record last updated Aug 7, 2014

Key facts

NPI
1134538762
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
COMMUNITY CARE OF WEST VIRGINIA, INC.
Practice address
7576 Seneca Trail
Hillsboro, WV 24946
Phone
(304) 924-6262
Fax
(304) 924-5460
NPI assigned
Aug 7, 2014
Organization subpart
No

Authorized official

Name
Dora L Potasnik
Title
Credentialing
Phone
(304) 587-7301

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

7576 Seneca Trail
Hillsboro, WV 24946

Mailing address

PO Box 217
Rock Cave, WV 26234-0217
Phone (304) 924-6262

Other names

  • Community Care of Hillsboro Doing business as

Other providers in Hillsboro, WV

All providers in Hillsboro, WV · Federally Qualified Health Center (FQHC) in West Virginia

Sources for this page

Verify at the official NPI Registry.