COMMUNITY CARE OF WEST VIRGINIA, INC. is a federally qualified health center (fqhc) clinic center in Bridgeport, WV. COMMUNITY CARE OF WEST VIRGINIA, INC. NPI is 1669868931. The provider is registered as an organization entity type.
The provider Is Doing Business As Bridgeport Middle School Wellness Center.
The provider's business location address is:
413 JOHNSON AVE
BRIDGEPORT, WV
ZIP 26330-309
Phone: (304) 326-7142
Fax: (304) 587-2594
The provider's authorized official is Dora L Potasnik .
The authorized official title is Credentialing and has the following contact phone number (304) 587-2541.
The enumeration date for this NPI number is 4/13/2015 and was last updated on 4/13/2015.