COMMUNITY CARE OF CLAY
NPI 1073562641
Clinic/Center - Federally Qualified Health Center (FQHC) in Clay, WV
About Community Care Of Clay NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMMUNITY CARE OF CLAY (NPI 1073562641) is a healthcare organization registered as a federally qualified health center (fqhc) in Clay, West Virginia and active in the NPI registry since May 2006. The organization lists Dora L Potasnik, Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Community Care Of Clay is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
60Medicare enrollment records show 60 clinicians reassign Medicare billing to Community Care Of Clay, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 60Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1073562641. It was assigned to this organization in the NPPES registry on May 9, 2006. The provider is doing business as Community Care Of Clay.
Where is Community Care Of West Virginia, Inc. located?
Community Care Of West Virginia, Inc. is located at 122 Center St, Clay, WV 25043. The listed phone number is (304) 587-7301.
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.
Is Community Care Of West Virginia, Inc. enrolled in Medicare?
Yes. Community Care Of West Virginia, Inc. is registered in the Medicare PECOS enrollment system.
When is Community Care Of West Virginia, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (West Virginia, Federally Qualified Health Center (FQHC)) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Community Care Of West Virginia, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 60 clinicians in 11 Medicare specialties reassign their Medicare billing to Community Care Of West Virginia, 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 (29), Family Practice (14) and Clinical Social Worker (5). Of these, 11 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 January 19, 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.
# Community Care Of Clay · NPI 1073562641
Federally Qualified Health Center (FQHC) organization in Clay, West Virginia. Organization record, active in the CMS NPPES registry since May 9, 2006.
## Identity
- **NPI:** 1073562641 (Entity type: Organization)
- **Enumerated:** May 9, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Community Care Of West Virginia, Inc.
- **Organization subpart:** Yes (part of Community Care Of West Virginia, Inc.)
- **Authorized official:** Dora Potasnik, CREDENTIALING
## Practice location
- **Address:** 122 CENTER ST, Clay, WV 25043-7046
- **Phone:** (304) 587-7301 · **Fax:** (304) 587-2594
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Part A, West Virginia, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 60 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (29), Family Practice (14), Clinical Social Worker (5); 11 practice at this address and 12 within 10 miles; [full list](https://npiprofile.com/npi/1073562641/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 19, 2024
- **Other identifiers:** Medicaid 0035189000 (WV); Other 001709907 (WV)
---
Source: [NPI Profile](https://npiprofile.com/npi/1073562641) · Data from the CMS NPPES public registry.