| Community Care Of West Virginia, Inc. | |
|
926a 5th Ave Marlinton WV 24954-1209 | |
| (304) 799-6551 | |
| (304) 799-6552 |
| Full Name | Community Care Of West Virginia, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 926a 5th Ave, Marlinton, 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. 926a 5th Ave Marlinton WV 24954-1209 Ph: (304) 799-6551 | Community Care Of West Virginia, Inc. 926a 5th Ave Marlinton WV 24954-1209 Ph: (304) 799-6551 |
| NPI Number | 1790033082 |
|---|---|
| Provider Enumeration Date | 08/17/2012 |
| Last Update Date | 08/17/2012 |
| Medicare PECOS PAC ID | 0446232987 |
|---|---|
| Medicare Enrollment ID | O20121012000674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790033082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Community Care Of West Virginia, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 821 3rd Ave, Marlinton, WV 24954 Phone: 304-799-4404 Fax: 304-799-4425 | |
Community Care Of West Virginia, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Rr 2, Box 52s, Marlinton, WV 24954 Phone: 304-799-6773 Fax: 304-799-7278 | |
John C Sharp Phd.,d.o Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Duncan Road, Marlinton, WV 24954 Phone: 304-799-4645 Fax: 304-799-7314 | |
Pocahontas County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 10th Ave, Marlinton, WV 24954 Phone: 304-799-4154 Fax: 304-799-7490 |