COMMUNITY CARE OF WEST VIRGINIA, INC. (NPI# 1962912261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962912261 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE OF WEST VIRGINIA, INC. |
| Other Organization Name | FLATWOODS ELEMENTARY SCHOOL WELLNESS CENTER |
| Practice Address |
142 Flatwoods Corner Road Flatwoods WV 26621 |
| 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 COORDINATOR) |
| 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 |
|---|---|
| Flatwoods 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 |
| 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 |
| 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 |
142 FLATWOODS CORNER ROAD |
| City | FLATWOODS |
| State | WV |
| Zip Code | 26621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023592565 | Avis Irene Wilson | Technician | 2799 Gauley Tpke, Flatwoods, WV 26621 | 2018-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124635446 | Tori Crabtree | Nurse Practitioner | 1511 Valley Dr, Flatwoods, KY 41139-1889 | 2020-09-30 |
| 1417566332 | Sarah Anne Braden | Registered Nurse | 1002 Gilley St, Flatwoods, KY 41139-1626 | 2020-07-27 |
| 1386282903 | Kristy Lynn Bell | Occupational Therapy Assistant | 2414 Todd Street Flatwoods, Flatwoods, KY 41139 | 2019-12-13 |
| 1558911461 | Lisa Ann Estep | Technician | 1216 Wheeler Street, Flatwoods, KY 41139 | 2019-09-13 |
| 1205386026 | Kyongmi Andre | Registered Nurse | 518 N 4th St, Flatwoods, KY 41139-1086 | 2016-10-04 |
| 1174976583 | Lauren Marie Baker | Occupational Therapist | 1411 Napier St, Flatwoods, KY 41139-1539 | 2016-07-20 |
| 1861846941 | Nancy Chandler | Developmental Therapist | 1402 Patterson St, Flatwoods, KY 41139-1548 | 2016-04-14 |
| 1568842607 | Kelly Potter | Health Educator | 2215 Brent Ann Dr, Flatwoods, KY 41139-1422 | 2015-06-03 |
| 1003212531 | Stacy Stevens | Counselor | 2320 Long St, Flatwoods, KY 41139-2146 | 2014-11-11 |
| 1336408111 | Lori Mccoy | Family Medicine | 1243 Wilkerson St, Flatwoods, KY 41139-1565 | 2012-05-14 |
| Find all providers in FLATWOODS | ||||
| 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 |
|---|---|---|---|---|
| 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.