WILLOW CREEK HEALTH CLINIC INC
NPI 1730635863
Clinic/Center - Primary Care in Roderfield, WV
About Willow Creek Health Clinic Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLOW CREEK HEALTH CLINIC INC (NPI 1730635863) is a healthcare organization registered as a primary care in Roderfield, West Virginia and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through July 13, 2028 and lists Karen Patricia Addair, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted 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)
Willow Creek Health Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Willow Creek Health Clinic Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Roderfield, WV 24881
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 51D2115830
Willow Creek Health Clinic Inc · Roderfield, WVFrequently 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 Willow Creek Health Clinic Inc's NPI number?
The NPI number for Willow Creek Health Clinic Inc is 1730635863. It was assigned to this organization in the NPPES registry on August 29, 2016.
Where is Willow Creek Health Clinic Inc located?
Willow Creek Health Clinic Inc is located at 15237 Coal Heritage Road/Us-52 North Honeycamp /247, Roderfield, WV 24881. The listed phone number is (304) 436-8323.
What is Willow Creek Health Clinic Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Willow Creek Health Clinic Inc enrolled in Medicare?
Yes. Willow Creek Health Clinic Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Willow Creek Health Clinic Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Willow Creek Health Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Willow Creek Health Clinic Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 51D2115830) is associated with this NPI, valid through July 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Willow Creek Health Clinic Inc accept?
Health plans from Highmark Blue Cross Blue Shield West Virginia list Willow Creek Health Clinic 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 Willow Creek Health Clinic Inc was last updated on August 29, 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.
# Willow Creek Health Clinic Inc · NPI 1730635863
Primary Care organization in Roderfield, West Virginia. Organization record, active in the CMS NPPES registry since August 29, 2016.
## Identity
- **NPI:** 1730635863 (Entity type: Organization)
- **Enumerated:** August 29, 2016
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Karen Addair, PRESIDENT
## Practice location
- **Address:** 15237 COAL HERITAGE ROAD/US-52 NORTH, HONEYCAMP /247, Roderfield, WV 24881
- **Phone:** (304) 436-8323
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 29, 2016
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730635863) · Data from the CMS NPPES public registry.