Community Care Of West Milford

LBN: Community Care Of West Virginia, Inc.
Community Care Of West Milford is an health care organization with primary practice located at 597 Liberty St , West Milford WV 26451-6801. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Community Care Of West Virginia, Inc. can be contacted via phone (304) 745-4568, or through Potasnik, Dora L via phone (304) 317-7275.

Contact Information

Primary practice address
597 Liberty St West Milford WV 26451-6801
Phone: (304) 745-4568
Fax: (304) 326-3700
Website:
Map and Directions
Authorized official contact:
Name: Potasnik, Dora L
Phone: (304) 317-7275

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Washington

Profile Details

NPI number 1558563734
LBN Legal business name Community Care Of West Virginia, Inc.
DBA Doing business as Community Care Of West Milford
Authorized official Potasnik, Dora L
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 1st, 2007
Last updated Jan 19th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558563734 NPPES
West Virginia MEDICAID 1558563734

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