COMMUNITY CARE OF WEST VIRGINIA, INC.


Address: 34 N Kanawha St, Buckhannon, WV 26201-2714
Phone: 3049246262

COMMUNITY CARE OF WEST VIRGINIA, INC. (NPI# 1063048189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063048189
Entity Type Organization
Organization Name COMMUNITY CARE OF WEST VIRGINIA, INC.
Practice Address 34 N Kanawha St
Buckhannon
WV 26201-2714
Practice Telephone 3049246262
Practice Fax Number 3049246699
Mailing Telephone 3049246262
Mailing Fax Number 3049246699
Enumeration Date 2020-03-20
Last Update Date 2020-03-20
Authorized Official Name DORA L POTASNIK (CREDENTIALING COORDINATOR)
Authorized Official Telephone 3045615319
Is Organization Subpart N

Taxonomy

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 Provider Identifier

State Issuer Identifier Type Code
WV WEST VIRGINIA BUSINESS LICENSE 2386-2367 01

Other Provider/Organization Names

Other Name Type Code
Community Care Connections of Buckhannon Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
1053821363 Community Care of West Virginia, Inc. Clinic/Center 55 Little Birch Rd, Sutton, WV 26601-9469 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

Office Location

Street Address 34 N KANAWHA ST
City BUCKHANNON
State WV
Zip Code 26201-2714

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417570334 Susan Boyce Homemaker 62692 Tallmasville Road, Buckhannon, WV 26201 2020-05-27
1316590177 Jk Marketing, LLC Clinic/Center 4 Hartman Plaza, Buckhannon, WV 26201 2019-07-22
1841759412 Deborah Lynn Wilson Massage Therapist 47 East Main St., Suite 202, Buckhann, WV 26201 2019-03-13
1275041766 Town of Anmoore Vol Fire Dept Ambulance 100 S Ash Street, Anmoore, WV 26201 2018-01-18
1265824411 Erik Brown Specialist/Technologist 36 College Avenue, Buckhannon, WV 26201 2015-02-25
1053735118 Jonas Layne Phares Chiropractor Rt 20 Professional Arts Plaza Dr, Buckhannon, WV 26201 2014-02-10
1750621132 Drew Foster Mason Specialist/Technologist 54 College Avenue, Box 1746, Buckhannon, WV 26201 2013-02-22
1295070241 Cynthia Jean Hurst Physician Assistant 50 Bu Drive, Buckhannon, WV 26201 2012-12-03
1679876197 Holly Evans Pharmacist Route 20 South, Buckhannon, WV 26201 2010-12-07
1407069990 Upshur-buckhannon Health Department Public Health or Welfare 15 North Locust Street, Buckhannon, WV 26201 2007-05-08
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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
1891241030 Community Care of West Virginia,inc. Clinic/Center 33-37 W Main Street, Buckhannon, WV 26201-2235 2016-08-28
1992144273 Community Care of West Virginia, Inc. Clinic/Center Rr 6 Box 303, Buckhannon, WV 26201-8830 2013-06-19
1104177674 Community Care of West Virginia, Inc. Clinic/Center 50 Bu Dr, Buckhannon, WV 26201-9411 2012-09-25
1578811857 Community Care of West Virginia, Inc. Clinic/Center 16 College Ave, Buckhannon, WV 26201-2628 2012-08-17
1255507810 Community Care of West Virginia, Inc. Clinic/Center 4 Northridge Dr Ste 118, Buckhannon, WV 26201-8484 2008-05-05
1487145769 Community Care of West Virginia, Inc. Clinic/Center 59 College Ave, Buckhannon, WV 26201-2600 2018-05-23

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NPI Name Taxonomy Address Enumeration
1801493499 Camden On Gauley Medical Center Inc Clinic/Center 52 Florence Street, Ansted, WV 25812 2020-10-06
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
1669024469 Womencare Inc Clinic/Center 150 Josephine Ave, Madison, WV 25130-1357 2019-07-11
1255983482 Womencare Inc Clinic/Center 1 Learning Way, Foster, WV 25081-9726 2019-07-09
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Competitor

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City BUCKHANNON
Zip Code 26201

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Dataset Information

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.

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