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COMMUNITY CARE OF BRIDGEPORT
NPI 1063808418
Clinic/Center - Federally Qualified Health Center (FQHC) in Bridgeport, WV

Active since April 13, 2015
100 MARKET PL, BRIDGEPORT, WV 26330(304) 848-5770(304) 848-0890 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community Care Of Bridgeport NPPES

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

COMMUNITY CARE OF BRIDGEPORT (NPI 1063808418) is a healthcare organization registered as a federally qualified health center (fqhc) in Bridgeport, West Virginia and active in the NPI registry since April 2015. The organization maintains a secondary practice location in Stonewood and lists Dora L Potasnik, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1063808418
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOMMUNITY CARE OF WEST VIRGINIA, INC.
Location Address100 MARKET PLBridgeport, WV 26330-9168
Mailing Address100 Market PlBridgeport, WV 26330-9168 · (304) 848-5770 · Fax (304) 848-0890
Phone(304) 848-5770
Fax(304) 848-0890
Organization SubpartNo
Authorized OfficialDora L PotasnikCredentialing · (304) 587-2541
Enumeration DateApril 13, 2015
Last NPPES UpdateApril 26, 2024
NPPES CertifiedApril 26, 2024
✔ NPI 1063808418 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
100 MARKET PL, Bridgeport, WV 26330
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Other Names 1

Doing Business AsCommunity Care Of Bridgeport

Secondary Practice Location 1

Location 1208 Kidd AveStonewood, WV 26301-4833 · Phone (304) 326-7050 · Fax (304) 587-2594

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLEE RITTER
Case Manager/Care Coordinator
100 MARKET PL
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770
RAYNA LESTE ADAMY
Counselor
100 MARKET PL
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770
MRS. JACQUELIN SUE SNIDER ADC
Counselor (Addiction (Substance Use Disorder))
100 MARKET PL
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770
JUSTIN RYAN DALY PRSS
Peer Specialist
100 MARKET PL
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770
ANGELA KAY KELLEY
Case Manager/Care Coordinator
100 MARKET PL
BRIDGEPORT, WV 26330
Harrison County (304) 848-5570
ISABELLA TENNANT
Student in an Organized Health Care Education/Training Program
100 MARKET PL
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770
DR. MEENAL BALAKRISHNAN DO
Psychiatry & Neurology (Psychiatry)
100 MARKET PL
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770
KENDALL DIANE STIRE
Case Manager/Care Coordinator
100 MARKET PL
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770

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 Community Care Of West Virginia, Inc.'s NPI number?

The NPI number for Community Care Of West Virginia, Inc. is 1063808418. It was assigned to this organization in the NPPES registry on April 13, 2015. The provider is doing business as Community Care Of Bridgeport.

Where is Community Care Of West Virginia, Inc. located?

Community Care Of West Virginia, Inc. is located at 100 Market Pl, Bridgeport, WV 26330. The listed phone number is (304) 848-5770.

What is Community Care Of West Virginia, Inc.'s specialty?

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

What insurance does Community Care Of West Virginia, Inc. accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Community Care Of West Virginia, 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 Community Care Of West Virginia, Inc. was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.