PENDLETON COMMUNITY CARE INC (NPI# 1912314667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912314667 |
| Entity Type | Organization |
| Organization Name | PENDLETON COMMUNITY CARE INC |
| Other Organization Name | BRANDYWINE ELEMENTARY SCHOOL SBHC |
| Practice Address |
11480 Blue Gray Trail Brandywine WV 26802-0247 |
| Mailing Address |
Po Box 100 Franklin WV 26807-0100 |
| Practice Telephone | 3042495381 |
| Mailing Telephone | 3043582355 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2016-07-19 |
| Authorized Official Name | MS. JAMIE HUDSON (CEO) |
| Authorized Official Telephone | 3043582355 |
| Is Organization Subpart | N |
| 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 |
|---|---|
| Brandywine Elementary School SBHC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386051035 | Pendleton Community Care Inc | Clinic/Center | 1 School Lane, Circleville, WV 26804-0187 | 2014-07-15 |
| 1205243961 | Pendleton Community Care Inc | Clinic/Center | 147 Maple Ave, Franklin, WV 26807-0040 | 2014-07-15 |
| 1932516697 | Pendleton Community Care Inc | Clinic/Center | 67 South Branch Street, Franklin, WV 26807-0848 | 2014-07-15 |
| 1417936535 | Pendleton Community Care Inc | Clinic/Center | 82 Pine St, Franklin, WV 26807-0100 | 2006-01-17 |
| 1437401643 | Pendleton Community Care Inc | Clinical Medical Laboratory | 1 Mott Street, Harman, WV 26270-0014 | 2012-10-11 |
| Street Address |
11480 BLUE GRAY TRAIL |
| City | BRANDYWINE |
| State | WV |
| Zip Code | 26802-0247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598004442 | Teresa Diane Adamson | Social Worker | 3694 Corner Rd, Fort Seybert, WV 26802-8166 | 2013-02-12 |
| 1952913451 | Sherry Louise Helmick | Technician | 10769 Sweedlin Valley Rd, Brandywine, WV 26802-8217 | 2020-08-18 |
| 1043766033 | Zazi Muller | Midwife | 2590 Mill Gap Rd, Brandywine, WV 26802-8656 | 2016-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169936 | Mutiat O. Popoola | Registered Nurse | 15518 Kennett Square Way, Brandywine, MD 20613-6239 | 2020-09-21 |
| 1952913451 | Sherry Louise Helmick | Technician | 10769 Sweedlin Valley Rd, Brandywine, WV 26802-8217 | 2020-08-18 |
| 1396371324 | Gift 2 Uplift Inc | Community/Behavioral Health | 13305 Arya Dr, Brandywine, MD 20613-5645 | 2020-03-21 |
| 1952936288 | Samantha Codes | Registered Nurse | 7704 Matapeake Business Dr Ste 315, Brandywine, MD 20613-3043 | 2020-03-06 |
| 1275167827 | Elevation Rx LLC | Pharmacy | 7651 Matapeake Business Dr Ste 114, Brandywine, MD 20613-3038 | 2020-02-22 |
| 1356981740 | Chelsea Glover | Social Worker | 12707 Lusbys Ln, Brandywine, MD 20613-7857 | 2020-01-14 |
| 1447808464 | Kmac's Family Caregivers, LLC | Home Health | 6713 Burch Hill Rd Ste A, Brandywine, MD 20613-9093 | 2019-09-03 |
| 1134789209 | Tonya Rochelle Miller-thomas | Physician Assistant | 16402 Baden Naylor Rd, Brandywine, MD 20613-8511 | 2019-06-19 |
| 1720642879 | Carlisa Jean Hurtt | Doula | 14501 Owings Ave, Brandywine, MD 20613-5915 | 2019-04-24 |
| 1710447990 | Stephanie Michelle Nelson-butler | Counselor | 7505 Earnshaw Dr, Brandywine, MD 20613-7629 | 2019-03-22 |
| Find all providers in BRANDYWINE | ||||
| 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 |
|---|---|---|---|---|
| 1700036183 | Greater Baden Medical Service Incorporated | Clinic/Center | 13605 Baden Westwood Rd, Brandywine, MD 20613-8422 | 2008-09-23 |
| 1912927344 | Greater Baden Medical Service Incorporated | Clinic/Center | 7450 Albert Rd, 3rd Floor, Brandywine, MD 20613-8422 | 2006-07-20 |
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| 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 | ||||
| City | BRANDYWINE |
| Zip Code | 26802 |
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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.