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POTOMAC
NPI 1629133269
Intermediate Care Facility, Intellectual Disabilities in Keyser, WV

Active since December 26, 2006CLIA Certified · 3 labs
1600 CORNELL ST, KEYSER, WV 26726(304) 788-0101(304) 788-8097 Get Directions Write a Review

NPPES record last updated: November 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Potomac NPPES

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

POTOMAC (NPI 1629133269) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Keyser, West Virginia and active in the NPI registry since December 2006. The organization holds 3 active CLIA laboratory certificates and lists Deena G. Ombres, Assoc. Gen. Counsel/privacy Officer, as its authorized official.

NPPES Registry Identity

NPI1629133269
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameRSCR WEST VIRGINIA, INC.
Location Address1600 CORNELL STKeyser, WV 26726-2140
Mailing Address9901 Linn Station RdLouisville, KY 40223-3808 · (800) 866-0860
Phone(304) 788-0101
Fax(304) 788-8097
Organization SubpartNo
Authorized OfficialDeena G. OmbresAssoc. Gen. Counsel/privacy Officer · (502) 394-2387
Enumeration DateDecember 26, 2006
Last NPPES UpdateNovember 21, 2011
✔ NPI 1629133269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in WV · 383
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1600 CORNELL ST, Keyser, WV 26726
Open in Google Maps ↗

Other Names 1

Other NamePotomac

Other Identifiers 1

Medicaid0005499005WV

CLIA Laboratory Certificates CMS CLIA 3

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 51D0909922

Potomac Valley Family Practice Of Potomac Valley Hospital · Keyser, WV
Active · expires Dec 20, 2027
CLIA Number51D0909922
Laboratory TypePhysician Office
Certificate Effective DateDecember 21, 2025
Certificate Expiration DateDecember 20, 2027
Laboratory DirectorCharles D. Bess
Laboratory Phone(304) 788-6462
Laboratory LocationPotomac Valley Family Practice Of Potomac Valley Hospital514 New Creek Hwy, Ste 1, Keyser, WV 26726
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 51D2330552

Potomac Valley Hospital - Medication Asst Treatment Clinic · Keyser, WV
Active · expires Sep 17, 2027
CLIA Number51D2330552
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorDr. Jennifer Hensley
Laboratory Phone(304) 597-3577
Laboratory LocationPotomac Valley Hospital - Medication Asst Treatment Clinic139 Potomac Plaza, Keyser, WV 26726
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 51D1095881

Potomac State College Of Wvu Student Health Center · Keyser, WV
Active · expires Feb 18, 2027
CLIA Number51D1095881
Laboratory TypeSchool/Student Health Service
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorDiana Niland
Laboratory Phone(304) 788-6913
Laboratory LocationPotomac State College Of Wvu Student Health Center101 Fort Avenue, Keyser, WV 26726
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

REM WEST VIRGINIA, LLC
Intermediate Care Facility, Intellectual Disabilities
1600 CORNELL ST
KEYSER, WV 26726
Mineral County (304) 788-0101

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 Rscr West Virginia, Inc.'s NPI number?

The NPI number for Rscr West Virginia, Inc. is 1629133269. It was assigned to this organization in the NPPES registry on December 26, 2006. The provider is also known as Potomac.

Where is Rscr West Virginia, Inc. located?

Rscr West Virginia, Inc. is located at 1600 Cornell St, Keyser, WV 26726. The listed phone number is (304) 788-0101.

What is Rscr West Virginia, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Rscr West Virginia, Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Rscr West Virginia, Inc. was last updated on November 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.