BIG ELM ELEMENTARY WELLNESS CENTER
NPI 1649610437
Clinic/Center - Federally Qualified Health Center (FQHC) in Shinnston, WV

Active since June 26, 2013
200 TETRICK RD, SHINNSTON, WV 26431(304) 326-7280(304) 326-7293 Get Directions Write a Review

NPPES record last updated: June 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Big Elm Elementary Wellness Center NPPES

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

BIG ELM ELEMENTARY WELLNESS CENTER (NPI 1649610437) is a healthcare organization registered as a federally qualified health center (fqhc) in Shinnston, West Virginia and active in the NPI registry since June 2013. The organization lists Dora L Potasnik, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1649610437
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOMMUNITY CARE OF WEST VIRGINIA, INC.
Location Address200 TETRICK RDShinnston, WV 26431-9704
Mailing AddressPo Box 217Rock Cave, WV 26234-0217 · (304) 924-6262 · Fax (304) 924-5460
Fax(304) 326-7293
Organization SubpartYes
Authorized OfficialDora L PotasnikCredentialing · (304) 587-2541
Enumeration DateJune 26, 2013
NPI 1649610437 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
License Licensed in WV · 2287-8118
200 TETRICK RD, Shinnston, WV 26431

Other Names 1

Doing Business AsBig Elm Elementary Wellness Center

Other Identifiers 1

Other2287-8118WV · Business License

Accepted Insurance

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 1649610437. It was assigned to this organization in the NPPES registry on June 26, 2013. The provider is doing business as Big Elm Elementary Wellness Center.

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

Community Care Of West Virginia, Inc. is located at 200 Tetrick Rd, Shinnston, WV 26431. The listed phone number is (304) 326-7280.

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 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 June 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.