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COMMUNITY CARE OF BIG OTTER
NPI 1992754592
Clinic/Center - Federally Qualified Health Center (FQHC) in Ivydale, WV

Active since May 09, 2006
797 CLINIC DR, IVYDALE, WV 25113(304) 286-4200(304) 286-2107 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community Care Of Big Otter NPPES

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

COMMUNITY CARE OF BIG OTTER (NPI 1992754592) is a healthcare organization registered as a federally qualified health center (fqhc) in Ivydale, West Virginia and active in the NPI registry since May 2006. The organization lists Dora L Potasnik, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1992754592
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOMMUNITY CARE OF WEST VIRGINIA, INC.
Location Address797 CLINIC DRIvydale, WV 25113-8263
Mailing AddressPo Box 147Clay, WV 25043-0147 · (304) 587-7301 · Fax (304) 587-2464
Phone(304) 286-4200
Fax(304) 286-2107
Organization SubpartYes
Authorized OfficialDora L PotasnikCredentialing · (304) 587-2541
Enumeration DateMay 9, 2006
Last NPPES UpdateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
✔ NPI 1992754592 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 · 550630765002
797 CLINIC DR, Ivydale, WV 25113
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Other Names 1

Doing Business AsCommunity Care Of Big Otter

Other Identifiers 2

Other001898548WV · Ms Bcbs
Medicaid0035398000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Other Providers at the Same Location NPPES 4

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

JAMI LAUGHLIN
Counselor (Professional)
797 CLINIC DR
IVYDALE, WV 25113
Clay County (304) 286-4200
MRS. MICHELLE A KLUMPENHOWER MED, EDS
Case Manager/Care Coordinator
797 CLINIC DR
IVYDALE, WV 25113
Clay County (304) 286-4200
SHANE WRISTON PA-C
Physician Assistant (Medical)
797 CLINIC DR
IVYDALE, WV 25113
Clay County (304) 286-4200
CHRISTINE L JONES MD
Family Medicine
797 CLINIC DR
IVYDALE, WV 25113
Clay County (304) 286-4200

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 1992754592. It was assigned to this organization in the NPPES registry on May 9, 2006. The provider is doing business as Community Care Of Big Otter.

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

Community Care Of West Virginia, Inc. is located at 797 Clinic Dr, Ivydale, WV 25113. The listed phone number is (304) 286-4200.

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 and Highmark Blue Cross Blue Shield West Virginia 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 January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.