COMMUNITY CARE OF WEST VIRGINIA, INC. (NPI# 1609386978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609386978 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE OF WEST VIRGINIA, INC. |
| Other Organization Name | LEADING CREEK ELEMENTARY SCHOOL WELLNESS CENTER |
| Practice Address |
15300 Us Highway 33 W Linn WV 26384-9322 |
| 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 |
|---|---|
| Leading 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 |
| 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 |
| Street Address |
15300 US HIGHWAY 33 W |
| City | LINN |
| State | WV |
| Zip Code | 26384-9322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235537705 | Ruth Walsh | Midwife | 44 Wv Hwy 47 West, Linn, WV 26384-0005 | 2014-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231102 | Dorothy Jean Duensing-herrs | Technician | 407 6th St, Linn, KS 66953-9013 | 2020-09-24 |
| 1538616032 | Marcia Heberle | Specialist/Technologist | 141 Wildcat Lane, Linn, MO 65051 | 2016-09-01 |
| 1235537705 | Ruth Walsh | Midwife | 44 Wv Hwy 47 West, Linn, WV 26384-0005 | 2014-12-15 |
| 1306258561 | Enrique De La Piedra | Skilled Nursing Facility | 196 Hwy 196, Linn, MO 65051-3500 | 2014-05-22 |
| 1831449867 | Alycia Ann Maasen | Physical Therapy Assistant | 1164 Highway 100, Linn, MO 65051-2829 | 2012-09-18 |
| 1881861888 | Osage County Special Services | Case Management | 1006 E. Jefferson St, Linn, MO 65051-9512 | 2008-05-09 |
| 1366646630 | Osage Ambulance District | Ambulance | 119 Highway 89 South, Linn, MO 65051-0557 | 2007-06-12 |
| 1538213244 | Community Health Ctr of Central Missouri | Family Medicine | 1016 E. Main St., Linn, MO 65051-9782 | 2007-01-22 |
| 1528112067 | Karla Lisetta Mckim | Physical Therapist | 1082 Highway 89 S, Linn, MO 65051-3965 | 2007-01-22 |
| 1336222173 | Osage County Community Living, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1006 E Jefferson St, Linn, MO 65051-9710 | 2006-10-23 |
| Find all providers in LINN | ||||
| 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.