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JOHNSON ELEMENTARY SCHOOL WELLNESS CENTER
NPI 1912392358
Clinic/Center - Federally Qualified Health Center (FQHC) in Bridgeport, WV

Active since April 02, 2015
601 JOHNSON AVE, BRIDGEPORT, WV 26330(304) 842-2747(304) 623-6220 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Johnson Elementary School Wellness Center NPPES

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

JOHNSON ELEMENTARY SCHOOL WELLNESS CENTER (NPI 1912392358) 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

NPI1912392358
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOMMUNITY CARE OF WEST VIRGINIA, INC.
Location Address601 JOHNSON AVEBridgeport, WV 26330-1971
Mailing Address601 Johnson AveBridgeport, WV 26330-1971 · (304) 842-2747 · Fax (304) 623-6220
Phone(304) 842-2747
Fax(304) 623-6220
Organization SubpartNo
Authorized OfficialDora L PotasnikCredentialing · (304) 317-7275
Enumeration DateApril 2, 2015
Last NPPES UpdateJuly 25, 2023
NPPES CertifiedJuly 25, 2023
✔ NPI 1912392358 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
601 JOHNSON AVE, Bridgeport, WV 26330
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Other Names 1

Doing Business AsJohnson Elementary School Wellness Center

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Johnson Elementary 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 Medicare9.4 mi
Genevieve Dunn, FNP-BC
Nurse Practitioner
NPI 1861708513
50 BU DR
Buckhannon, WV 26201
(304) 472-8333
✔ PECOS✔ Accepts Medicare24 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 Medicare32 mi
Aimee Whitehair, MD
Family Practice
NPI 1003093097
ROUTE 4 & 20 S. INTERSECTION
Rockcave, WV 26234
(304) 924-6262
✔ PECOS✔ Accepts Medicare33 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 1912392358. It was assigned to this organization in the NPPES registry on April 2, 2015. The provider is doing business as Johnson Elementary School Wellness Center.

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

Community Care Of West Virginia, Inc. is located at 601 Johnson Ave, Bridgeport, WV 26330. The listed phone number is (304) 842-2747.

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.

When was this NPI record last updated?

The NPPES record for Community Care Of West Virginia, Inc. was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.