Covered Entity Details

CH03421D Community Care of West Virginia, Inc. (Active)

Main Details

Name

Community Care of West Virginia, Inc.

Subdivision Name

Community Care Pediatrics of Buckhannon

Type

HRSA-Funded Health Center

Site ID

BPS-H80-018933

340B ID

CH03421D

Grant Number

H80CS00080

Additional Details

Current Program Status

Active

Registration Date

6/5/2008

Participating Start Date

7/1/2008

Participating Approval Date

6/6/2008

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

4 North Ridge Dr., Suite 118
Buckhannon, WV 26201-8484

Billing Address

Community Care of West Virginia
78 QUEENS ALLEY RD
PO BOX 217
ROCK CAVE, WV 26234-0217

Comment	Last Updated On
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6/16/10 UPDATED SUBDIV NAME (WAS CAREXPRESS AND PEDIATRICS) AND CHANGED TO YES/PENDING FOR MEDICAID (WAS NO) (REVERSING CHANGES OF 6/9 PER NEW CHANGE REQUEST); 6/9/10 UPDATED SUBDIV NAME (WAS CAREXPRESS) AND CHANGED TO NO FOR MEDICAID (WAS YES/PENDING); 6/19/2008-- SUB-DIVISION IS ALSO KNOWN AS BUCKHANNON HEALTH CENTER	06/16/2010

340B Drug Pricing Program Database