COMMUNITY CARE OF GREEN BANK
NPI 1164557237
Clinic/Center - Federally Qualified Health Center (FQHC) in Green Bank, WV

Active since February 22, 2007
90 ROUTE 28, GREEN BANK, WV 24944(304) 456-5115(304) 456-5117 Get Directions Write a Review

NPPES record last updated: January 25, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community Care Of Green Bank NPPES

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

COMMUNITY CARE OF GREEN BANK (NPI 1164557237) is a healthcare organization registered as a federally qualified health center (fqhc) in Green Bank, West Virginia and active in the NPI registry since February 2007. The organization lists Connie Simmons, Coo Cfo, as its authorized official.

NPPES Registry Identity

NPI1164557237
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOMMUNITY CARE OF WEST VIRGINIA, INC.
Location Address90 ROUTE 28Green Bank, WV 24944-0085
Mailing AddressPo Box 217Rock Cave, WV 26234 · (304) 924-6262 · Fax (904) 924-5460
Fax(304) 456-5117
Organization SubpartYes
Authorized OfficialConnie SimmonsCoo Cfo · (304) 924-6262
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJanuary 25, 2012
NPI 1164557237 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
90 ROUTE 28, Green Bank, WV 24944

Other Names 1

Doing Business AsCommunity Care Of Green Bank

Other Identifiers 3

Medicare OSCAR/certification511931WV
Medicaid3810010087WV
Medicare PIN5119311WV

Accepted Insurance

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 1164557237. It was assigned to this organization in the NPPES registry on February 22, 2007. The provider is doing business as Community Care Of Green Bank.

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

Community Care Of West Virginia, Inc. is located at 90 Route 28, Green Bank, WV 24944. The listed phone number is (304) 456-5115.

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 January 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.