Community Care of West Virginia, Inc
Community Care of West Virginia, Inc is a Federally Qualified Health Center (FQHC) in Ivydale, West Virginia. Licensed in West Virginia. Registered with an NPI since 2006.
- Licensed in
- WV
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
797 Clinic DrIvydale, WV 25113-8263
Phone: (304) 286-4200
Fax: (304) 286-2107
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X · Licence 550630765002 (WV) |
|---|
Record details
| NPI number | 1992754592 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Community Care of West Virginia, Inc |
| Authorized official | Dora Potasnik — Credentialing · (304) 587-2541 |
| Other names | Community Care Of Big Otter |
| NPI enumerated | May 9, 2006 |
| Last updated in NPPES | January 19, 2024 |
| Certification date | January 19, 2024 |
| Mailing address | Po Box 147, Clay, WV 25043-0147 |