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CH03421C 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 West Milford
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003672
340B ID
CH03421C
Grant Number
H80CS00080
Additional Details
Current Program Status
Active
Registration Date
9/5/2007
Participating Start Date
10/1/2007
Participating Approval Date
9/14/2007
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
597 LIBERTY ST
WEST MILFORD, WV 26451-6801
Billing Address
Community Care of West Virginia
78 QUEENS ALLEY RD
PO BOX 217
ROCK CAVE, WV 26234-0217
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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