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CH034090 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 Clay
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010380
340B ID
CH034090
Grant Number
H80CS00080
Additional Details
Current Program Status
Active
Registration Date
10/1/2005
Participating Start Date
9/9/2005
Participating Approval Date
8/8/2005
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
122 Center St
Clay, WV 25043-7046
Billing Address
Community Care of West Virginia
PO BOX 217
78 Queens Alley Rd
ROCK CAVE, WV 26234-0217
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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6/13/11 UPDATED GRANT NUMBER (WAS H80CS00079); 3/22/10 - UPDATED PHYS ADD (WAS 125 CENTER STREET, PO BOX 147)
06/13/2011
April 2025
April 2025
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