340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH03421E Community Care of West Virginia, Inc. (Terminated)
Print
Main Details
Name
Community Care of West Virginia, Inc.
Subdivision Name
Braxton Healthcare Associates
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000044
340B ID
CH03421E
Grant Number
H80CS00080
Additional Details
Current Program Status
Terminated
Registration Date
5/15/2009
Participating Start Date
7/1/2009
Participating Approval Date
6/8/2009
Last Recertification Date
2/16/2016
Termination Date
Termination Reason
1/1/2017
Site closure
Contacts
Authorizing Official
Community Care of West Virginia
Richard G. Simon, CEO
(304) 924-6262
Primary Contact
TERRY L. CRAIG, DIRECTOR OF PHARMACY SERVICES
(304) 471-2250
Addresses
Street Address
617 River Street
Gassaway, WV 26624-1137
Billing Address
TRI COUNTY HEALTH CLINIC
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
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session