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CH03421CF COMMUNITY CARE OF WEST VIRGINIA, INC. (Approved)
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Main Details
Name
COMMUNITY CARE OF WEST VIRGINIA, INC.
Subdivision Name
Tennerton Elementary School Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-039325
340B ID
CH03421CF
Grant Number
H80CS00080
Additional Details
Current Program Status
Approved
Registration Date
4/1/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/2/2025
Last Recertification Date
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
167 Gawthrop Rd
Buckhannon, WV 26201-3927
Billing Address
Community Care of West Virginia
PO Box 217
78 Queens Alley Rd
Rock Cave, WV 26234
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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