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CH03421CD COMMUNITY CARE OF WEST VIRGINIA, INC. (Active)
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Main Details
Name
COMMUNITY CARE OF WEST VIRGINIA, INC.
Subdivision Name
Community Care of Bridgeport
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038369
340B ID
CH03421CD
Grant Number
H80CS00080
Additional Details
Current Program Status
Active
Registration Date
11/5/2024
Participating Start Date
1/1/2025
Participating Approval Date
12/4/2024
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
Community Care of West Virginia
Patricia Collett, Chief Executive Officer
(304) 473-5560
Primary Contact
Community Care of West Virginia
Joshua Dunn, Pharmacist
(304) 473-2291
Addresses
Street Address
100 Market Pl
Bridgeport, WV 26330-9168
Billing Address
Community Care of West Virginia
PO Box 217
78 Queen's Alley Rd
Rock Cave, WV 26234-0217
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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