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CH03421CA COMMUNITY CARE OF WEST VIRGINIA, INC. (Active)
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Main Details
Name
COMMUNITY CARE OF WEST VIRGINIA, INC.
Subdivision Name
Genesis Youth Crisis Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036066
340B ID
CH03421CA
Grant Number
H80CS00080
Additional Details
Current Program Status
Active
Registration Date
4/17/2023
Participating Start Date
7/1/2023
Participating Approval Date
4/19/2023
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
591 Kappa Sigma Pi Dr.
Clarksburg, WV 26301
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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