COMMUNITY CARE OF BRIDGEPORT
NPI 1144811290
Community/Behavioral Health in Bridgeport, WV

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

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since February 01, 2021

65 PROFESSIONAL PL STE 101, BRIDGEPORT, WV 26330(304) 848-5770(304) 848-0890 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 17, 2021, Feb 1, 2021 (2 updates tracked since 2021).

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About Community Care Of Bridgeport NPPES

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

COMMUNITY CARE OF BRIDGEPORT (NPI 1144811290) is a healthcare organization registered as a community/behavioral health in Bridgeport, West Virginia and active in the NPI registry since February 2021. The organization maintains 15 additional practice locations and lists Dora L Potasnik, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1144811290

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCOMMUNITY CARE OF WEST VIRGINIA, INC.

Location Address65 PROFESSIONAL PL STE 101Bridgeport, WV 26330-1889

Mailing Address65 Professional Pl Ste 101Bridgeport, WV 26330-1889 · (304) 848-5770 · Fax (304) 848-0890

Phone(304) 848-5770

Fax(304) 848-0890

Organization SubpartNo

Authorized OfficialDora L PotasnikCredentialing Coordinator · (304) 317-7275

Enumeration DateFebruary 1, 2021

Last NPPES UpdateFebruary 17, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2021

✔ NPI 1144811290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

65 PROFESSIONAL PL STE 101, Bridgeport, WV 26330

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Other Names 1

Doing Business AsCommunity Care Of Bridgeport

Secondary Practice Locations 15

Location 1597 Liberty StWest Milford, WV 26451-6801 · Phone (304) 745-4568 · Fax (304) 326-3700

Location 237 W Main StBuckhannon, WV 26201-2235 · Phone (304) 473-5600 · Fax (304) 372-1341

Location 34498 Potomac Highlands TrailGreen Bank, WV 24944 · Phone (304) 456-5115 · Fax (304) 456-5118

Location 4100 S. Pickens RdHelvetia, WV 26224 · Phone (304) 924-5453 · Fax (304) 924-5496

Location 54 Northridge Dr Ste 118Buckhannon, WV 26201-8484 · Phone (304) 473-1440 · Fax (304) 473-1441

Location 6266 Skidmore LnSutton, WV 26601-9271 · Phone (304) 765-0351 · Fax (304) 765-7019

Location 7821 3rd AveMarlinton, WV 24954-1015 · Phone (304) 799-4404 · Fax (304) 799-4425

Location 8122 Center StClay, WV 25043-7046 · Phone (304) 587-7301 · Fax (304) 587-2464

Location 9797 Clinic DrIvydale, WV 25113-8263 · Phone (304) 286-4200 · Fax (304) 286-2107

Location 10149 Staunton DrWeston, WV 26452-5604 · Phone (304) 269-5510 · Fax (304) 269-2037

Location 11107 Staunton DrWeston, WV 26452-5604 · Phone (304) 269-2022 · Fax (304) 269-2037

Location 12700 Oakmound RdClarksburg, WV 26301-9398 · Phone (304) 623-6330 · Fax (304) 623-6220

Location 1334 N Kanawha StBuckhannon, WV 26201-2714 · Phone (304) 473-2250 · Fax (304) 924-5460

Location 14273 Skidmore LnSutton, WV 26601-9272 · Phone (304) 765-4400 · Fax (304) 765-0354

Location 1578 Queens Alley RdRock Cave, WV 26234-5890 · Phone (304) 924-6262 · Fax (304) 924-5460

Other Identifiers 1

Other516WV · State Of Wv Department Of Health And Human Services Behavioral Health License

Other Providers at the Same Location NPPES 6

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

DR. BENJAMIN DOUGLAS HINES MD

Psychiatry & Neurology (Psychiatry)