COMMUNITY CARE OF WESTON II – NPI #1619464369
Clinic/Center

COMMUNITY CARE OF WESTON II is an AHC clinic located in WESTON, WV. NPPES has assigned the NPI number 1619464369 to COMMUNITY CARE OF WESTON II on April 18, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COMMUNITY CARE OF WESTON II” is a dba name, the actual legal business name for this organization is COMMUNITY CARE OF WEST VIRGINIA, INC.. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMMUNITY CARE OF WESTON II below.

NPI Profile for
COMMUNITY CARE OF WEST VIRGINIA, INC.

NPI Number
1619464369
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMUNITY CARE OF WEST VIRGINIA, INC.
Doing Business As (dba): COMMUNITY CARE OF WESTON II
Primary location
107 STAUNTON DR
WESTON, WV 26452-5604
Phone: (304) 269-2022 Fax: (304) 269-2037
Mailing address
249 SKIDMORE LN
SUTTON, WV 26601-9272
Phone: (304) 561-5319 Fax:
Organization Subpart
No
Authorized Official
DORA POTASNIK
CREDENTIALING COORDINATOR
Phone: (304) 561-5319
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.