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CH03421AQ COMMUNITY CARE OF WEST VIRGINIA, INC. (Active)
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Main Details
Name
COMMUNITY CARE OF WEST VIRGINIA, INC.
Subdivision Name
Roanoke Elementary School Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015589
340B ID
CH03421AQ
Grant Number
H80CS00080
Additional Details
Current Program Status
Active
Registration Date
1/6/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/12/2016
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
1176 Oil Creek Rd.
Roanoke, WV 26447-8263
Billing Address
Community Care of West Virginia
78 QUEENS ALLEY RD
PO BOX 217
ROCK CAVE, WV 26234
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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