MOUNTAINEER COMMUNITY HEALTH CENTER, INC.
NPI 1033299862
Clinic/Center - Federally Qualified Health Center (FQHC) in Paw Paw, WV

Active since October 16, 2006CLIA 51D0914378 · Waiver
783 WINCHESTER ST, PAW PAW, WV 25434(304) 947-5500(304) 947-5563 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mountaineer Community Health Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAINEER COMMUNITY HEALTH CENTER, INC. (NPI 1033299862) is a healthcare organization registered as a federally qualified health center (fqhc) in Paw Paw, West Virginia and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through June 29, 2028 and lists Rebecca Thomas, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033299862
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMOUNTAINEER COMMUNITY HEALTH CENTER, INC.
Location Address783 WINCHESTER STPaw Paw, WV 25434-0002
Mailing AddressPo Box 2, 783 Winchester StPaw Paw, WV 25434-0002 · (304) 947-5500 · Fax (304) 947-5563
Fax(304) 947-5563
Organization SubpartNo
Authorized OfficialRebecca ThomasCeo · (304) 947-5500
Enumeration DateOctober 16, 2006
Last NPPES UpdateAugust 13, 2026
NPPES CertifiedAugust 13, 2026
✔ NPI 1033299862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
783 WINCHESTER ST, Paw Paw, WV 25434

Other Identifiers 2

OtherCC5660WV · Rrmc
Medicaid0035343000WV

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountaineer Community Health Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Mountaineer Community Health Center, Inc., which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1518751502
783 WINCHESTER ST
Paw Paw, WV 25434
(304) 947-5500
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1235205337
783 WINCHESTER ST
Paw Paw, WV 25434
(304) 947-5500
Same address
Family Practice
NPI 1457469900
783 WINCHESTER STREET
Paw Paw, WV 25434
(304) 947-5500
✔ PECOSSame address
Nurse Practitioner
NPI 1639693468
783 WINCHESTER ST
Paw Paw, WV 25434
(304) 947-5500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376190652
456 AUTUMN ACRES RD
Berkeley Springs, WV 25411
(304) 258-3673
✔ PECOS13 mi
Nurse Practitioner
NPI 1770857542
261 BERKMORE PL SUITE 1A
Berkeley Springs, WV 25411
(304) 258-5790
✔ PECOS13 mi
Family Practice
NPI 1578080925
812 AMHERST ST STE 201
Winchester, VA 22601
(540) 450-1600
✔ PECOS28 mi
Nurse Practitioner
NPI 1871231902
180 E PORTAL ROAD
Davis, WV 26260
(304) 259-4970
✔ PECOS55 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D0914378

Mountaineer Community Health Center · Paw Paw, WV
Active · expires Jun 29, 2028
CLIA Number51D0914378
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 30, 2026
Certificate Expiration DateJune 29, 2028
Laboratory DirectorTina L. Waugh
Laboratory Phone(304) 947-5500
Laboratory LocationMountaineer Community Health Center783 Winchester Street, Paw Paw, WV 25434
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountaineer Community Health Center, Inc.'s NPI number?

The NPI number for Mountaineer Community Health Center, Inc. is 1033299862. It was assigned to this organization in the NPPES registry on October 16, 2006.

Where is Mountaineer Community Health Center, Inc. located?

Mountaineer Community Health Center, Inc. is located at 783 Winchester St, Paw Paw, WV 25434. The listed phone number is (304) 947-5500.

What is Mountaineer Community Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Mountaineer Community Health Center, Inc. enrolled in Medicare?

Yes. Mountaineer Community Health Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountaineer Community Health Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Mountaineer Community Health Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Family Practice (2) and Physical Therapist in Private Practice (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mountaineer Community Health Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D0914378) is associated with this NPI, valid through June 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mountaineer Community Health Center, Inc. accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Mountaineer Community Health Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountaineer Community Health Center, Inc. was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.