COMMUNITY CARE OF WEST VIRGINIA, INC.

NPI # 

Practice Address:

200 Tetrick Rd

Shinnston, WV, 26431-9704

Practice Phone:

304-326-7280

Practice Fax:

304-326-7293

Email:

info@ccwv.org

License Number:

2287-8118

License State:

WV

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X