WEST VIRGINIA WESLEYAN COLLEGE WELLNESS CENTER
NPI 1487145769
Clinic/Center - Federally Qualified Health Center (FQHC) in Buckhannon, WV

Q: 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.

Active since May 23, 2018CLIA 51D2201276 · Waiver

59 COLLEGE AVE, BUCKHANNON, WV 26201(304) 924-6262(304) 924-5460 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About West Virginia Wesleyan College Wellness Center NPPES

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

WEST VIRGINIA WESLEYAN COLLEGE WELLNESS CENTER (NPI 1487145769) is a healthcare organization registered as a federally qualified health center (fqhc) in Buckhannon, West Virginia and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through November 18, 2026 and lists Dora L Potasnik, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1487145769

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCOMMUNITY CARE OF WEST VIRGINIA, INC.

Location Address59 COLLEGE AVEBuckhannon, WV 26201-2600

Mailing Address59 College AveBuckhannon, WV 26201-2600 · (304) 924-6262 · Fax (304) 924-5460

Phone(304) 924-6262

Fax(304) 924-5460

Organization SubpartNo

Authorized OfficialDora L PotasnikCredentialing Coordinator · (304) 561-5319

Enumeration DateMay 23, 2018

✔ NPI 1487145769 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

59 COLLEGE AVE, Buckhannon, WV 26201

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Other Names 1

Doing Business AsWest Virginia Wesleyan College Wellness Center

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2201276

West Virginia Wesleyan College · Buckhannon, WV

Active · expires Nov 18, 2026

CLIA Number51D2201276

Laboratory TypeSchool/Student Health Service

Certificate Effective DateNovember 19, 2024

Certificate Expiration DateNovember 18, 2026

Laboratory DirectorRae L. Emrick

Laboratory Phone(304) 473-8002

Laboratory LocationWest Virginia Wesleyan College59 College Avenue, Buckhannon, WV 26201

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

TRAHERN MICHAEL WHITE LAT, ATC

Specialist/Technologist (Athletic Trainer)