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CH03409E Community Care of West Virginia, Inc. (Active)
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Main Details
Name
Community Care of West Virginia, Inc.
Subdivision Name
Big Otter Elementary Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010383
340B ID
CH03409E
Grant Number
H80CS00080
Additional Details
Current Program Status
Active
Registration Date
12/1/2011
Participating Start Date
1/1/2012
Participating Approval Date
12/15/2011
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
59 Ossia Rd
Duck, WV 25063-8500
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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June 2025
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