COMMUNITY CARE OF WEST VIRGINIA, INC.

BRIDGEPORT, WV
NPI1700252764
Doing Business AsSIMPSON ELEMENTARY SCHOOL WELLNESS CENTER
Entity TypeOrganization
Authorized ContactDORA L POTASNIK
Credentialing
304-587-2541
Organization Subpart ?No
Primary Taxonomy261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)
Enumeration Date2015-08-13
Last Update Date2015-08-18
Business Address
COMMUNITY CARE OF WEST VIRGINIA, INC.
250 WORTHINGTON DR
BRIDGEPORT, WV 26330-1449
Phone number: 304-326-7060
Mailing Address
COMMUNITY CARE OF WEST VIRGINIA, INC.
PO BOX 217
ROCK CAVE, WV 26234-0217
Phone number: 304-924-6262