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CH03421BM Community Care of West Virginia, Inc. (Active)
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Main Details
Name
Community Care of West Virginia, Inc.
Subdivision Name
Burnsville Elementary School Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021197
340B ID
CH03421BM
Grant Number
H80CS00080
Additional Details
Current Program Status
Active
Registration Date
2/2/2018
Participating Start Date
4/1/2018
Participating Approval Date
2/5/2018
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
228 Kanawha Ave
Burnsville, WV 26335
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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