COMMUNITY CARE OF GREEN BANK
NPI 1164557237
Clinic/Center - Federally Qualified Health Center (FQHC) in Green Bank, WV
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
Specialties & Licenses
Other Names 1
Other Identifiers 3
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)
Community Care Of Green Bank is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
60Medicare enrollment records show 60 clinicians reassign Medicare billing to Community Care Of Green Bank, which bills Medicare for the services they deliver. Of these, 2 practice 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 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.
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.
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, 2 practice 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 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.
# Community Care Of Green Bank · NPI 1164557237
Federally Qualified Health Center (FQHC) organization in Green Bank, West Virginia. Organization record, active in the CMS NPPES registry since February 22, 2007.
## Identity
- **NPI:** 1164557237 (Entity type: Organization)
- **Enumerated:** February 22, 2007
- **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:** Connie Simmons, COO CFO
## Practice location
- **Address:** 90 ROUTE 28, Green Bank, WV 24944-0085
- **Phone:** (304) 456-5115 · **Fax:** (304) 456-5117
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1164557237/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2012
- **Other identifiers:** Medicare OSCAR/certification 511931 (WV); Medicaid 3810010087 (WV); Medicare PIN 5119311 (WV)
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Source: [NPI Profile](https://npiprofile.com/npi/1164557237) · Data from the CMS NPPES public registry.