340B Drug Pricing Program Database

Name

Community Care of West Virginia, Inc.

Subdivision Name

Community Care of Big Otter

Type

HRSA-Funded Health Center

Site ID

BPS-H80-010382

340B ID

CH03409A

Grant Number

H80CS00080

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

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

Street Address

797 Clinic Dr
Ivydale, WV 25113-8263

Billing Address

Community Care of West Virginia
PO BOX 217
78 Queens Alley Rd
ROCK CAVE, WV 26234-0217