COMMUNITY CARE OF WEST VIRGINIA, INC.
Ambulatory Health at Lee Ave, Clarksburg, WV

License number
West Virginia 2287-8809
Category
Ambulatory Health
Type
Federally Qualified Health Center (FQHC)
Owner
Name: DORA L POTASNIK
Title: CREDENTIALING
Phone: (304) 587-2541
Address
Address 2
443 Lee Ave, Clarksburg, WV 26301
PO Box 217, Rock Cave, WV 26234
National Provider ID: 1619316999
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about COMMUNITY CARE OF WEST VIRGINIA, INC. at bizstanding.com

COMMUNITY CARE OF WEST VIRGINIA, INC

Rock Cave, WV

Industry:
Medical Doctor's Office, Primary Care Medical Clinic, Home Health Care Services, ...
Doing business as:
Tricounty Health Clinic<br>Community Care of West Virginia
Registration:
Dec 12, 1979
Phone:
(304) 924-6262 (Phone)
Addresses:
PO Box 217, Rock Cave, WV 26234 (Physical)
4 And 20, Rock Cave, WV 26234
Business type:
Corporation
Credentialings:
Rick Simon (Director), PO Box 217, Rock Cave, WV 26234,Patricia Louise Collett (Physician Assistant, Cardiology),Julie A. Haddix (Nurse Practitioner),...

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