COMMUNITY CARE OF WEST VIRGINIA, INC. (NPI# 1053821363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053821363 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE OF WEST VIRGINIA, INC. |
| Other Organization Name | LITTLE BIRCH ELEMENTARY SCHOOL WELLNESS CENTER |
| Practice Address |
55 Little Birch Rd Sutton WV 26601-9469 |
| Mailing Address |
Po Box 147 Clay WV 25043-0147 |
| Practice Telephone | 3049246262 |
| Practice Fax Number | 3049245460 |
| Mailing Telephone | 3045872541 |
| Mailing Fax Number | 3045872594 |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |
| Authorized Official Name | DORA L POTASNIK (CREDENTIALING COORDINATORY) |
| Authorized Official Telephone | 3045872541 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY CARE OF WEST VIRGINIA, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Little Birch Elementary School Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339309 | Community Care of West Virginia, Inc. | Clinic/Center | 33 E Victoria St, Buckhannon, WV 26201-2671 | 2020-09-04 |
| 1063048189 | Community Care of West Virginia, Inc. | Clinic/Center | 34 N Kanawha St, Buckhannon, WV 26201-2714 | 2020-03-20 |
| 1538711452 | Community Care of West Virginia, Inc. | Clinic/Center | 481 Heavner Grove Rd, Buckhannon, WV 26201-4859 | 2019-07-11 |
| 1710539630 | Community Care of West Virginia, Inc. | Clinic/Center | 5078 Tallmansville Rd, Buckhannon, WV 26201-1687 | 2019-07-11 |
| 1871003178 | Community Care of West Virginia, Inc. | Clinic/Center | 228 Kanawha Avenue, Burnsville, WV 26335 | 2017-10-02 |
| 1609386978 | Community Care of West Virginia, Inc. | Clinic/Center | 15300 Us Highway 33 W, Linn, WV 26384-9322 | 2017-10-02 |
| 1962912261 | Community Care of West Virginia, Inc. | Clinic/Center | 142 Flatwoods Corner Road, Flatwoods, WV 26621 | 2017-10-02 |
| 1811366248 | Community Care of West Virginia, Inc. | Clinic/Center | 501 Bomont Rd, Bomont, WV 25030-9666 | 2015-09-16 |
| 1043686553 | Community Care of West Virginia, Inc. | Clinic/Center | 358 Court Ave, Weston, WV 26452-2008 | 2015-08-19 |
| 1194191676 | Community Care of West Virginia, Inc. | Clinic/Center | 1 Lizemore Street, Lizemores, WV 25125 | 2015-08-19 |
| Street Address |
55 LITTLE BIRCH RD |
| City | SUTTON |
| State | WV |
| Zip Code | 26601-9469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325894 | Amy Elizabeth Taylor | Pharmacist | 369 Scotts Fork Bonnie Road, Sutton, WV 26601 | 2020-10-30 |
| 1629678438 | David B Smith | Pharmacist | 369 Scotts Fork-bonnie Road, Sutton, WV 26601 | 2020-10-30 |
| 1952914194 | Charlotte Ann Coffman | Technician | 42 Ashley Pl, Lot 2, Sutton, WV 26601 | 2020-08-27 |
| 1871032995 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 256 Skidmore Ln, Sutton, WV 26601 | 2017-02-22 |
| 1912391772 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 369 Scotts Fork-bonnie Rd, Sutton, WV 26601 | 2015-03-19 |
| 1063785798 | Amanda Laurel Steiger | Specialist | 89 Mid Mountain Ln, Suite 1, Sutton, WV 26601 | 2012-02-10 |
| 1770876021 | Christina B Gillenwater | Family Medicine | 273 Skidmore Lane, Sutton, WV 26601 | 2011-05-19 |
| 1013189059 | Kelli L Boggs | Registered Nurse | 411 North Hill Road, Braxton County Board of Education, Sutton, WV 26601 | 2008-03-31 |
| 1396849030 | Laura Lou Marple | Dentist | 304 Riverview Dr, Sutton, WV 26601 | 2006-09-12 |
| 1083625305 | Cynthia Talbott Vincent | Physician Assistant | 93 Skidmore Lane, Sutton, WV 26601 | 2006-08-11 |
| Find all providers in zip 26601 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770917577 | Community Care of West Virginia, Inc. | Clinic/Center | 2000 Sutton Ln, Store #3, Sutton, WV 26601-6379 | 2013-08-28 |
| 1396096863 | Community Care of West Virginia, Inc. | Clinic/Center | 200 Jerry Burton Dr, Sutton, WV 26601-9768 | 2012-09-25 |
| 1104175058 | Community Care of West Virginia, Inc. | Clinic/Center | 100 Carter Braxton Dr, Sutton, WV 26601-9773 | 2012-09-06 |
| 1609042266 | Community Care of West Virginia, Inc. | Clinic/Center | 273 Skidmore Ln, Sutton, WV 26601-9272 | 2008-05-05 |
| 1750892188 | Community Care of West Virginia, Inc. | Clinic/Center | 288 N Hill Rd, Sutton, WV 26601-1225 | 2017-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493499 | Camden On Gauley Medical Center Inc | Clinic/Center | 52 Florence Street, Ansted, WV 25812 | 2020-10-06 |
| 1194339309 | Community Care of West Virginia, Inc. | Clinic/Center | 33 E Victoria St, Buckhannon, WV 26201-2671 | 2020-09-04 |
| 1063048189 | Community Care of West Virginia, Inc. | Clinic/Center | 34 N Kanawha St, Buckhannon, WV 26201-2714 | 2020-03-20 |
| 1619503422 | Change Inc | Clinic/Center | 114 Taylor Ave, Weirton, WV 26062-4635 | 2020-03-13 |
| 1861023699 | Logan-mingo Area Mental Health, Inc | Clinic/Center | 2954 Buffalo Creek Road, Chattaroy, WV 25667 | 2020-01-30 |
| 1689220402 | New River Health Association, Inc. | Clinic/Center | 2 Greyhound Ln., Smithers, WV 25186 | 2019-08-16 |
| 1740836873 | Williamson Health & Wellness Center Inc | Clinic/Center | 5 Parkway Dr, Williamson, WV 25661-3428 | 2019-08-14 |
| 1699321729 | Williamson Health & Wellness Center Inc | Clinic/Center | 50 Panther Blvd, Williamson, WV 25661-7441 | 2019-08-14 |
| 1083260129 | Williamson Health & Wellness Center Inc | Clinic/Center | 300 Blue Devil Lane, Kermit, WV 25661 | 2019-08-14 |
| 1225684731 | Williamson Health & Wellness Center Inc | Clinic/Center | 1000 King Coal Hwy, Delbarton, WV 25670-9529 | 2019-08-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.