COMMUNITY CARE OF WEST VIRGINIA, INC. (NPI# 1114277050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114277050 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE OF WEST VIRGINIA, INC. |
| Other Organization Name | LOST CREEK ELEMENTARY SCHOOL WELLNESS CENTER |
| Practice Address |
128 College Street Lost Creek WV 26385-0000 |
| Mailing Address |
Po Box 128 Lost Creek WV 26385-0128 |
| Practice Telephone | 3043267040 |
| Practice Fax Number | 3047454393 |
| Mailing Telephone | 3043267040 |
| Mailing Fax Number | 3047454393 |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-10-02 |
| Authorized Official Name | RICHARD G SIMON (CEO) |
| Authorized Official Telephone | 3049246262 |
| 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) |
2274-1060 | WV | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lost Creek 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 |
| 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 |
| Street Address |
128 COLLEGE STREET |
| City | LOST CREEK |
| State | WV |
| Zip Code | 26385-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780197244 | Kevin Wayne Frick | Counselor | 43 South Streetcar Way, Lost Creek, WV 26385 | 2017-11-07 |
| 1336531003 | Tim Freeman | Custodial Care Facility | 3680 Duck Creek Rd, Lost Creek, WV 26385 | 2015-03-04 |
| 1821246950 | Linda Rose Marnic | Psychologist | 107 South Street Car Way, Lost Creek, WV 26385 | 2008-09-03 |
| 1639384449 | Family Matters Psychological Services Pllc | Counselor | 107 S. Streetcar Way, Lost Creek, WV 26385 | 2007-05-14 |
| 1922197490 | Village Pharmacy Inc | Pharmacy | 36 Railroad St, Lost Creek, WV 26385 | 2006-10-12 |
| 1942295654 | Thomas Melvin Bell | Psychologist | 107 S Streetcar Way, Lost Creek, WV 26385 | 2005-09-19 |
| 1093944878 | Jennifer Rae Adams | Counselor | 107 Street Car Way, Lost Creek, WV 26385-0490 | 2009-07-14 |
| 1730259946 | Amy Wilson Strange | Psychologist | 107 South Streetcar Way, Lost Creek, WV 26385-0490 | 2006-11-08 |
| 1013128446 | Josie Ellen Bush | Counselor | 107 S. Streetcar Way, Lost Creek, WV 26385-0490 | 2007-05-25 |
| 1275134439 | Sherry Ann Cogis | Technician | 54 Feathers Hooves Dr, Lost Creek, WV 26385-6802 | 2020-11-04 |
| Find all providers in zip 26385 | ||||
| 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 |
|---|---|---|---|---|
| 1912258492 | Community Care of West Virginia, Inc. | Clinic/Center | Rr 1 Box 58, Lost Creek, WV 26385-9707 | 2012-09-25 |
| 1699024547 | Community Care of West Virginia, Inc. | Clinic/Center | Rr 1 Box 58b, Lost Creek, WV 26385-9707 | 2012-09-06 |
| 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 | ||||
| City | LOST CREEK |
| Zip Code | 26385 |
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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.