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COMMUNITY CARE PEDIATRICS OF BUCKHANNON
NPI 1255507810
Clinic/Center - Federally Qualified Health Center (FQHC) in Buckhannon, WV

Active since May 05, 2008
4 NORTHRIDGE DR STE 118, BUCKHANNON, WV 26201(304) 473-5660(304) 473-5661 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 25, 2023, Feb 9, 2023, Feb 20, 2019 (3 updates tracked since 2019).

About Community Care Pediatrics Of Buckhannon NPPES

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

COMMUNITY CARE PEDIATRICS OF BUCKHANNON (NPI 1255507810) is a healthcare organization registered as a federally qualified health center (fqhc) in Buckhannon, West Virginia and active in the NPI registry since May 2008. The organization lists Richard G Simon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255507810
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOMMUNITY CARE OF WEST VIRGINIA, INC.
Location Address4 NORTHRIDGE DR STE 118Buckhannon, WV 26201-8484
Mailing Address4 Northridge Dr Ste 118Buckhannon, WV 26201-8484 · (304) 473-5660 · Fax (304) 473-5661
Phone(304) 473-5660
Fax(304) 473-5661
Organization SubpartYes
Authorized OfficialRichard G SimonCeo · (304) 545-0571
Enumeration DateMay 5, 2008
Last NPPES UpdateJanuary 19, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2024
✔ NPI 1255507810 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
4 NORTHRIDGE DR STE 118, Buckhannon, WV 26201
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Other Names 1

Doing Business AsCommunity Care Pediatrics Of Buckhannon

Other Identifiers 1

Medicaid1255507810WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Other Providers at the Same Location NPPES 3

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

CHARLEEN NICOLE ROBINSON FNP
Nurse Practitioner (Family)
4 NORTHRIDGE DR STE 118
BUCKHANNON, WV 26201
Upshur County (304) 473-1440
NICHOLAS JOEL BAKER PA-C
Physician Assistant
4 NORTHRIDGE DR STE 118
BUCKHANNON, WV 26201
Upshur County (304) 473-1440
KATIE DAVIS
Case Manager/Care Coordinator
4 NORTHRIDGE DR STE 118
BUCKHANNON, WV 26201
Upshur County (304) 473-2255

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 1255507810. It was assigned to this organization in the NPPES registry on May 5, 2008. The provider is doing business as Community Care Pediatrics Of Buckhannon.

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

Community Care Of West Virginia, Inc. is located at 4 Northridge Dr Ste 118, Buckhannon, WV 26201. The listed phone number is (304) 473-5660.

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 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.