COMMUNITY CARE OF MARLINTON
NPI 1164653457
Clinic/Center - Federally Qualified Health Center (FQHC) in Marlinton, WV

Active since August 04, 2009
821 3RD AVE, MARLINTON, WV 24954(304) 799-4404(304) 799-4425 Get Directions Write a Review

NPPES record last updated: June 11, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Community Care Of Marlinton NPPES

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

COMMUNITY CARE OF MARLINTON (NPI 1164653457) is a healthcare organization registered as a federally qualified health center (fqhc) in Marlinton, West Virginia and active in the NPI registry since August 2009. The organization lists Dora L Potasnik, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1164653457
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOMMUNITY CARE OF WEST VIRGINIA, INC.
Location Address821 3RD AVEMarlinton, WV 24954-1015
Mailing AddressPo Box 217Rock Cave, WV 26234-0217 · (304) 924-6262 · Fax (304) 924-5460
Fax(304) 799-4425
Organization SubpartYes
Authorized OfficialDora L PotasnikCredentialing · (304) 587-2541
Enumeration DateAugust 4, 2009
Last NPPES UpdateJune 11, 2013
✔ NPI 1164653457 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
821 3RD AVE, Marlinton, WV 24954

Other Names 1

Doing Business AsCommunity Care Of Marlinton

Other Identifiers 3

Medicaid3810016995WV
Medicare OSCAR/certification511947WV
Medicare PIN5119471WV

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 Marlinton 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.

StateEnrollment IDDue date
StateWest VirginiaEnrollment IDO20040607001043Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

78

Medicare enrollment records show 78 clinicians reassign Medicare billing to Community Care Of Marlinton, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Nurse Practitioner40
Family Practice15
Clinical Social Worker8
Mental Health Counselor8
Addiction Medicine1
Clinical Psychologist1
Dentist1
Oral Surgery1
3 other specialties3

Nearest to this location (20)

See all 78
Nurse Practitioner
NPI 1104591015
821 3RD AVE
Marlinton, WV 24954
(304) 799-4404
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1922978220
431 CASS RD
Slatyfork, WV 26291
(304) 473-5600
✔ PECOS✔ Accepts Medicare14 mi
Oral Surgery
NPI 1891041406
6404 POTOMAC HIGHLAND TRAIL
Green Bank, WV 24944
(304) 456-5433
✔ PECOS21 mi
Dentist
NPI 1093061608
6404 POTOMAC HIGHLAND TRAIL
Green Bank, WV 24944
(304) 456-5433
✔ PECOS21 mi
Nurse Practitioner
NPI 1609401520
415 MAIN ST
Summersville, WV 26651
(304) 872-1663
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1265320212
100 WOODS DR
Mount Nebo, WV 26679
(304) 880-8086
✔ PECOS✔ Accepts Medicare42 mi
Family Practice
NPI 1003093097
ROUTE 4 & 20 S. INTERSECTION
Rockcave, WV 26234
(304) 924-6262
✔ PECOS✔ Accepts Medicare44 mi
Pediatric Medicine
NPI 1376769984
ROUTE 4 & 20 S. INTERSECTION
Rock Cave, WV 26234
(304) 924-6262
✔ PECOS44 mi
Family Practice
NPI 1386873024
INTERSECTION OF RT. 4 & 20 S
Rock Cave, WV 26234
(304) 924-6262
✔ PECOS✔ Accepts Medicare44 mi
Nurse Practitioner
NPI 1891154951
78 QUEENS ALLEY RD
Rock Cave, WV 26234
(304) 924-6262
✔ PECOS45 mi
Family Practice
NPI 1942656400
78 QUEENS ALLEY RD
Rock Cave, WV 26234
(304) 924-6262
✔ PECOS✔ Accepts Medicare45 mi
Clinical Social Worker
NPI 1205312329
273 SKIDMORE LN
Sutton, WV 26601
(304) 765-4400
✔ PECOS45 mi
Mental Health Counselor
NPI 1992576664
235 SKIDMORE LN
Sutton, WV 26601
(304) 991-7120
✔ PECOS45 mi
Mental Health Counselor
NPI 1932822467
2214 BEVERLY PIKE
Elkins, WV 26241
(304) 553-7063
✔ PECOS48 mi
Mental Health Counselor
NPI 1053068718
1123 S DAVIS AVE
Elkins, WV 26241
(681) 378-3908
✔ PECOS✔ Accepts Medicare50 mi
Clinical Social Worker
NPI 1457928590
37 W MAIN ST
Buckhannon, WV 26201
(304) 473-5600
✔ PECOS✔ Accepts Medicare54 mi
Addiction Medicine
NPI 1376644401
34 N KANAWHA ST
Buckhannon, WV 26201
(304) 473-2250
✔ PECOS✔ Accepts Medicare54 mi
Clinical Social Worker
NPI 1063960730
122 CENTER ST
Clay, WV 25043
(304) 587-2541
✔ PECOS✔ Accepts Medicare56 mi
Psychiatry
NPI 1629344858
65 PROFESSIONAL PL STE 102
Bridgeport, WV 26330
(304) 848-5770
✔ PECOS77 mi
Clinical Psychologist
NPI 1184855819
930 CHESTNUT RIDGE RD
Morgantown, WV 26505
(304) 598-4214
✔ PECOS✔ Accepts Medicare99 mi
See all 78 clinicians

Source: 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 1164653457. It was assigned to this organization in the NPPES registry on August 4, 2009. The provider is doing business as Community Care Of Marlinton.

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

Community Care Of West Virginia, Inc. is located at 821 3rd Ave, Marlinton, WV 24954. The listed phone number is (304) 799-4404.

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 Non-DME Part B enrollment for this organization (West Virginia, Clinic/Group Practice) 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), 78 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 (40), Family Practice (15) and Clinical Social Worker (8). Of these, 1 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 June 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.