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CH03421BG 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 Bridgeport
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015442
340B ID
CH03421BG
Grant Number
H80CS00080
Additional Details
Current Program Status
Active
Registration Date
4/6/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/7/2016
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
65 Professional Place
Bridgeport, WV 26330
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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