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COMMUNITY CARE OF WEST VIRGINIA, INC.
NPI 1194339309
Clinic/Center - Federally Qualified Health Center (FQHC) in Buckhannon, WV

Active since September 04, 2020
33 E VICTORIA ST, BUCKHANNON, WV 26201(304) 924-6262(304) 924-5460 Get Directions Write a Review

NPPES record last updated: September 4, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Community Care Of West Virginia, Inc. NPPES

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

COMMUNITY CARE OF WEST VIRGINIA, INC. (NPI 1194339309), doing business as Upshur County Pals Wellness Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Buckhannon, West Virginia and active in the NPI registry since September 2020. The organization lists Dora L Potasnik, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1194339309
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOMMUNITY CARE OF WEST VIRGINIA, INC.
Location Address33 E VICTORIA STBuckhannon, WV 26201-2671
Mailing Address33 E Victoria StBuckhannon, WV 26201-2671 · (304) 924-6262 · Fax (304) 924-5460
Phone(304) 924-6262
Fax(304) 924-5460
Organization SubpartNo
Authorized OfficialDora L PotasnikCredentialing Coordinator · (304) 317-7275
Enumeration DateSeptember 4, 2020
NPPES CertifiedSeptember 1, 2020
✔ NPI 1194339309 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
33 E VICTORIA ST, Buckhannon, WV 26201
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Other Names 1

Doing Business AsUpshur County Pals Wellness Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.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 West Virginia, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Community Care Of West Virginia, Inc., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Elizabeth Shelton, LPC
Mental Health Counselor
NPI 1053068718
1123 S DAVIS AVE
Elkins, WV 26241
(681) 378-3908
✔ PECOS✔ Accepts Medicare21 mi
Kevin Junkins, MD
Psychiatry
NPI 1629344858
65 PROFESSIONAL PL STE 102
Bridgeport, WV 26330
(304) 848-5770
✔ PECOS24 mi

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 1194339309. It was assigned to this organization in the NPPES registry on September 4, 2020. The provider is doing business as Upshur County PALS Wellness Center.

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

Community Care Of West Virginia, Inc. is located at 33 E Victoria St, Buckhannon, WV 26201. The listed phone number is (304) 924-6262.

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), 2 clinicians reassign their Medicare billing to Community Care Of West Virginia, Inc., in Mental Health Counselor and Psychiatry. 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. 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 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 September 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.