| Community Care Of West Virginia, Inc. | |
|
Rr 2 Box 305 French Creek WV 26218-9667 | |
| (304) 924-6381 | |
| (304) 924-5460 |
| Full Name | Community Care Of West Virginia, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | Rr 2 Box 305, French Creek, West Virginia |
| Authorized Official Name and Position | Richard G Simon (CEO) |
| Authorized Official Contact | 3049246262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care Of West Virginia, Inc. Rr 2 Box 305 French Creek WV 26218-9667 Ph: (304) 924-6381 | Community Care Of West Virginia, Inc. Rr 2 Box 305 French Creek WV 26218-9667 Ph: (304) 924-6381 |
| NPI Number | 1689921082 |
|---|---|
| Provider Enumeration Date | 08/06/2012 |
| Last Update Date | 08/06/2012 |
| Medicare PECOS PAC ID | 0446232987 |
|---|---|
| Medicare Enrollment ID | O20121003000357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689921082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Pioneer Health Care And Goods Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9220 Alexander Rd, French Creek, WV 26218 Phone: 304-613-2797 |