PENDLETON COMMUNITY CARE INC (NPI# 1386051035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386051035 |
| Entity Type | Organization |
| Organization Name | PENDLETON COMMUNITY CARE INC |
| Other Organization Name | NORTH FORK ELEMENTARY SCHOOL SBHC |
| Practice Address |
1 School Lane Circleville WV 26804-0187 |
| Mailing Address |
Po Box 100 Franklin WV 26807-0100 |
| Practice Telephone | 3045673193 |
| Mailing Telephone | 3043582355 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2016-06-14 |
| Authorized Official Name | JAIME 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 |
|---|---|
| North Fork Elementary School SBHC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205243961 | Pendleton Community Care Inc | Clinic/Center | 147 Maple Ave, Franklin, WV 26807-0040 | 2014-07-15 |
| 1912314667 | Pendleton Community Care Inc | Clinic/Center | 11480 Blue Gray Trail, Brandywine, WV 26802-0247 | 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 |
1 SCHOOL LANE |
| City | CIRCLEVILLE |
| State | WV |
| Zip Code | 26804-0187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711017 | Richard Dean Judy | Technician | 3833 Snowy Mountain Road, Circleville, WV 26804 | 2020-08-19 |
| 1831709427 | Connie White | Technician | 119 Arnold Ln, Circleville, WV 26804-7001 | 2020-08-07 |
| 1316558638 | Sylvia Renae Hamilton | Technician | 210 Vance Run Rd, Circleville, WV 26804-7012 | 2020-08-11 |
| 1154933505 | Norma Vint | Technician | 90 Jimmy Ln, Circleville, WV 26804-7029 | 2020-08-18 |
| 1649870726 | Justin Barkley | Technician | 7818 Snowy Mountain Rd, Circleville, WV 26804-7036 | 2020-10-28 |
| 1649882234 | Sandra Kay Judy | Technician | 2833 Snowy Mountain Rd, Circleville, WV 26804-7059 | 2020-08-17 |
| 1447865134 | Linda Jean Wimer | Technician | 54 River Rock Ln, Circleville, WV 26804-8004 | 2020-09-10 |
| 1417555715 | Cynthia Custer | Technician | 7668 Mount Freedom Dr, Circleville, WV 26804-8025 | 2020-10-09 |
| 1033716519 | Ronda Tingler | Technician | 18 Bear Dog Ln, Circleville, WV 26804-8038 | 2020-10-07 |
| 1457958159 | Amber Greathouse Tingler | Technician | 2985 Mount Freedom Dr, Circleville, WV 26804-8081 | 2020-10-06 |
| Find all providers in zip 26804 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1578985453 | Columbus Neighborhood Health Center, Inc. | Clinic/Center | 600 N Pickaway St, Suite 300 Mo Building, Circleville, OH 43113-1447 | 2014-01-13 |
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| 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 | CIRCLEVILLE |
| Zip Code | 26804 |
Please comment or provide details below to improve the information on PENDLETON COMMUNITY CARE INC.
| 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.