Community Care Of West Virginia, Inc. in Clay - Federally Qualified Health Center (fqhc)
Community Care Of West Virginia, Inc. - NPI 1073562641
Community Care Of West Virginia, Inc. is a Federally Qualified Health Center (fqhc) in Clay, . Community Care Of West Virginia, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Community Care Of West Virginia, Inc. is 1073562641. The last update date is 2013-02-06.
Community Care Of West Virginia, Inc.'s current location address is Po Box 147, Clay, . You can contact this provider via phone number 3045877301 and fax number 3045872594. The mailing address for Community Care Of West Virginia, Inc. is Po Box 147, Clay, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Care Of West Virginia, Inc. |
|---|---|
| Address | Po Box 147, Clay, |
| Phone Number | 3045877301 |
| Fax Number | 3045872594 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Potasnik L Dora |
| Telephone Number | 3045872541 |
NPI Number Detail
| NPI Number | 1073562641 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2013-02-06 |
Provider Mailing Address Detail
| Address | Po Box 147 |
|---|---|
| City | Clay |
| State | (WV) |
| Post Code | 250430147 |
| Phone Number | 3045877301 |
| Fax Number | 3045872594 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 1038-3999 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1709907 | WV | MS BCBS | |
| 35189000 | WV | -- |
Post Comment/ Review Below
What is the Community Care Of West Virginia, Inc.'s 1073562641?
The Community Care Of West Virginia, Inc.'s NPI (National Provider Identifier) Number is 1073562641. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Community Care Of West Virginia, Inc. is physically located?
The Community Care Of West Virginia, Inc. is physically situated at the following address: Po Box 147, Clay, WV, 250430147.
What is Community Care Of West Virginia, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Community Care Of West Virginia, Inc. is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.
On what date did the Community Care Of West Virginia, Inc. receive the assignment of its 1073562641 from the Centers for Medicare & Medicaid Services?
The Community Care Of West Virginia, Inc. was issued its 1073562641 by the Centers for Medicare & Medicaid Services on 2006-05-09.
As of what date was the information pertaining to Community Care Of West Virginia, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Community Care Of West Virginia, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-02-06.