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CH03421BX Community Care of West Virginia, Inc. (Active)
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Main Details
Name
Community Care of West Virginia, Inc.
Subdivision Name
Upshur County PALS Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031086
340B ID
CH03421BX
Grant Number
H80CS00080
Additional Details
Current Program Status
Active
Registration Date
10/13/2020
Participating Start Date
1/1/2021
Participating Approval Date
11/2/2020
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
33 E Victoria St
Buckhannon, WV 26201-2671
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
June 2025
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