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NORTH FORK PRIMARY CARE CLINIC
NPI 1417931379
Clinic/Center - Federally Qualified Health Center (FQHC) in Riverton, WV

Active since December 05, 2005
16921 MOUNTAINEER DRIVE, RIVERTON, WV 26814(304) 567-2101(304) 567-2102 Get Directions Write a Review

NPPES record last updated: July 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Fork Primary Care Clinic NPPES

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

NORTH FORK PRIMARY CARE CLINIC (NPI 1417931379) is a healthcare organization registered as a federally qualified health center (fqhc) in Riverton, West Virginia and active in the NPI registry since December 2005. The organization lists Jamie M Hudson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417931379
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePENDLETON COMMUNITY CARE, INC.
Location Address16921 MOUNTAINEER DRIVERiverton, WV 26814-0101
Mailing AddressPo Box 101Riverton, WV 26814-0101 · (304) 567-2101 · Fax (304) 567-2102
Phone(304) 567-2101
Fax(304) 567-2102
Organization SubpartNo
Authorized OfficialJamie M HudsonCeo · (304) 358-7230
Enumeration DateDecember 5, 2005
Last NPPES UpdateJuly 19, 2016
✔ NPI 1417931379 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
16921 MOUNTAINEER DRIVE, Riverton, WV 26814
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Other Names 1

Doing Business AsNorth Fork Primary Care Clinic

Other Identifiers 4

Medicaid5369042000WV
Medicare OSCAR/certification511882WV
Medicare PIN5118821WV
Other001706795WV · Ms Bcbs

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 2

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

PENDLETON COMMUNITY CARE, INC.
Clinical Medical Laboratory
16921 MOUNTAINEER DRIVE
RIVERTON, WV 26814
Pendleton County (304) 567-2101
DONIELLE SUZANNE TETER NP-C
Nurse Practitioner (Family)
16921 MOUNTAINEER DRIVE
RIVERTON, WV 26814
Pendleton County (304) 567-2101

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 Pendleton Community Care, Inc.'s NPI number?

The NPI number for Pendleton Community Care, Inc. is 1417931379. It was assigned to this organization in the NPPES registry on December 5, 2005. The provider is doing business as North Fork Primary Care Clinic.

Where is Pendleton Community Care, Inc. located?

Pendleton Community Care, Inc. is located at 16921 Mountaineer Drive, Riverton, WV 26814. The listed phone number is (304) 567-2101.

What is Pendleton Community Care, 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 Pendleton Community Care, Inc. accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Pendleton Community Care, 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 Pendleton Community Care, Inc. was last updated on July 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.