BRIDGEPORT MIDDLE SCHOOL WELLNESS CENTER
NPI 1669868931
Clinic/Center - Federally Qualified Health Center (FQHC) in Bridgeport, 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 April 13, 2015

413 JOHNSON AVE, BRIDGEPORT, WV 26330(304) 326-7142(304) 587-2594 Get Directions Write a Review

NPPES record last updated: April 13, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Bridgeport Middle School Wellness Center NPPES

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

BRIDGEPORT MIDDLE SCHOOL WELLNESS CENTER (NPI 1669868931) is a healthcare organization registered as a federally qualified health center (fqhc) in Bridgeport, West Virginia and active in the NPI registry since April 2015. The organization lists Dora L Potasnik, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1669868931

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCOMMUNITY CARE OF WEST VIRGINIA, INC.

Location Address413 JOHNSON AVEBridgeport, WV 26330-1309

Mailing AddressPo Box 147Clay, WV 25043-0147 · (304) 587-2541 · Fax (304) 587-2594

Phone(304) 326-7142

Fax(304) 587-2594

Organization SubpartNo

Authorized OfficialDora L PotasnikCredentialing · (304) 587-2541

Enumeration DateApril 13, 2015

✔ NPI 1669868931 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

413 JOHNSON AVE, Bridgeport, WV 26330

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Other Names 1

Doing Business AsBridgeport Middle School Wellness Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bridgeport Middle School Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Bridgeport Middle School Wellness Center, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Melissa Dodrill, M.D.

Family Practice

NPI 1871887349

597 LIBERTY ST
West Milford, WV 26451

(304) 745-4568

✔ PECOS✔ Accepts Medicare9.3 mi

Genevieve Dunn, FNP-BC

Nurse Practitioner

NPI 1861708513

50 BU DR
Buckhannon, WV 26201

(304) 472-8333

✔ PECOS✔ Accepts Medicare23 mi

Iris Mae Trinidad Carillo, M.D

Family Practice

NPI 1386873024

INTERSECTION OF RT. 4 & 20 S
Rock Cave, WV 26234

(304) 924-6262

✔ PECOS✔ Accepts Medicare31 mi

Aimee Whitehair, MD

Family Practice

NPI 1003093097

ROUTE 4 & 20 S. INTERSECTION
Rockcave, WV 26234

(304) 924-6262

✔ PECOS✔ Accepts Medicare32 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1669868931. It was assigned to this organization in the NPPES registry on April 13, 2015. The provider is doing business as Bridgeport Middle School Wellness Center.

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

Community Care Of West Virginia, Inc. is located at 413 Johnson Ave, Bridgeport, WV 26330. The listed phone number is (304) 326-7142.

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.

Is Community Care Of West Virginia, Inc. enrolled in Medicare?

Yes. Community Care Of West Virginia, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Care Of West Virginia, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Community Care Of West Virginia, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (3) and Nurse Practitioner (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 April 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.