Community Care Of West Virginia, Inc. in Clay - Federally Qualified Health Center (fqhc)
Community Care Of West Virginia, Inc. - NPI 1669422432
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 1669422432. 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 | 1669422432 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| 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 | 2267-7441 |
|
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 |
|---|---|---|---|
| 1979216 | WV | MS BCBS | |
| 35189004 | WV | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Community Care Of West Virginia, Inc. by the Centers for Medicare & Medicaid Services?
The Community Care Of West Virginia, Inc. has been issued the NPI (National Provider Identifier) 1669422432 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
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 area of expertise and its corresponding taxonomy classification?
The Community Care Of West Virginia, Inc.'s field of specialization is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their areas of practice.
On what date did Community Care Of West Virginia, Inc. receive its 1669422432 assignment from the Centers for Medicare & Medicaid Services?
The Community Care Of West Virginia, Inc. was assigned its 1669422432 on 2006-05-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Community Care Of West Virginia, Inc. most recently updated or revised?
The details related to Community Care Of West Virginia, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2013-02-06.