Community Care Of Bridgeport

LBN: Community Care Of West Virginia, Inc.
Community Care Of Bridgeport is an health care organization with primary practice located at 65 Professional Pl Ste 101 , Bridgeport WV 26330-1889. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Community Care Of West Virginia, Inc. can be contacted via phone (304) 848-5770, or through Potasnik, Dora L via phone (304) 317-7275.

Contact Information

Primary practice address
65 Professional Pl Ste 101 Bridgeport WV 26330-1889
Phone: (304) 848-5770
Fax: (304) 848-0890
Website:
Map and Directions
Authorized official contact:
Name: Potasnik, Dora L
Phone: (304) 317-7275

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1144811290
LBN Legal business name Community Care Of West Virginia, Inc.
DBA Doing business as Community Care Of Bridgeport
Authorized official Potasnik, Dora L
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2021
Last updated Feb 17th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144811290 NPPES
West Virginia Other 516 STATE OF WV DEPARTMENT OF HEALTH AND HUMAN SERVICES BEHAVIORAL HEALTH LICENSE

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