Nutter Fort Primary Wellness Center
LBN: Community Care Of West Virginia, Inc.
Nutter Fort Primary Wellness Center is an health care organization with primary practice located at 1302 Buckhannon Pike , Nutter Fort WV 26301-4406. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Community Care Of West Virginia, Inc. can be contacted via phone (304) 624-3275, or through Potasnik, Dora L via phone (304) 587-2541.
Contact Information
Primary practice address
1302 Buckhannon Pike
Nutter Fort WV 26301-4406
Phone: (304) 624-3275
Fax: (304) 624-3382
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 2287-7375 | West Virginia |
Profile Details
| NPI number | 1003256801 |
|---|---|
| LBN Legal business name | Community Care Of West Virginia, Inc. |
| DBA Doing business as | Nutter Fort Primary Wellness Center |
| Authorized official | Potasnik, Dora L |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 26th, 2013 |
| Last updated | Jun 26th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003256801 | NPPES |
| West Virginia | Other | 2287-7375 | BUSINESS LICENSE |
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