| Community Care Of West Virginia, Inc. | |
|
235 Skidmore Ln Sutton WV 26601-9272 | |
| (304) 765-4400 | |
| (304) 765-0354 |
| Full Name | Community Care Of West Virginia, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 235 Skidmore Ln, Sutton, West Virginia |
| Authorized Official Name and Position | Dora L Potasnik (CREDENTIALING) |
| Authorized Official Contact | 3043177275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care Of West Virginia, Inc. 235 Skidmore Ln Sutton WV 26601-9272 Ph: (304) 765-4400 | Community Care Of West Virginia, Inc. 235 Skidmore Ln Sutton WV 26601-9272 Ph: (304) 765-4400 |
| NPI Number | 1609042266 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 07/25/2023 |
| Medicare PECOS PAC ID | 0446232987 |
|---|---|
| Medicare Enrollment ID | O20040607001043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609042266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Jennifer A Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790739464 PECOS PAC ID: 4688678519 Enrollment ID: I20060908000049 |
| Provider Name | Victoria M Dobbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164491056 PECOS PAC ID: 0547267809 Enrollment ID: I20061030000045 |
| Provider Name | Angela Gfayle Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083806277 PECOS PAC ID: 1254429004 Enrollment ID: I20071113000365 |
| Provider Name | Raymond Patrick Leonard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376769984 PECOS PAC ID: 7810068764 Enrollment ID: I20080619000753 |
| Provider Name | Kelly W Dunavant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609047109 PECOS PAC ID: 9335202803 Enrollment ID: I20090108000795 |
| Provider Name | Tracie F Bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679709554 PECOS PAC ID: 5799838959 Enrollment ID: I20090805000480 |
| Provider Name | Chris Neil Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326225350 PECOS PAC ID: 7214082551 Enrollment ID: I20090910000027 |
| Provider Name | Erin N King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528368248 PECOS PAC ID: 2264620715 Enrollment ID: I20101228000061 |
| Provider Name | Genevieve F Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861708513 PECOS PAC ID: 5597924175 Enrollment ID: I20120319000205 |
| Provider Name | Heather A Radcliffe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649539396 PECOS PAC ID: 1951557115 Enrollment ID: I20120803000706 |
| Provider Name | Iris Mae Canete Trinidad Carillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386873024 PECOS PAC ID: 3375791726 Enrollment ID: I20120910000910 |
| Provider Name | Julie A Haddix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033452552 PECOS PAC ID: 1456599646 Enrollment ID: I20130529000853 |
| Provider Name | Kimberly Renee Becher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528351863 PECOS PAC ID: 4385883065 Enrollment ID: I20140807001149 |
| Provider Name | Melissa Shockey Dodrill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871887349 PECOS PAC ID: 5991923963 Enrollment ID: I20140904001927 |
| Provider Name | Christina Booda Gillenwater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770876021 PECOS PAC ID: 3678712874 Enrollment ID: I20141205001626 |
| Provider Name | Stephanie H Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376972422 PECOS PAC ID: 7214240027 Enrollment ID: I20150723006972 |
| Provider Name | Cristy D Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891154951 PECOS PAC ID: 6507163615 Enrollment ID: I20160404001693 |
| Provider Name | Autumn L Lemley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992149223 PECOS PAC ID: 5991001141 Enrollment ID: I20160630002278 |
| Provider Name | Jina Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912359969 PECOS PAC ID: 1355638487 Enrollment ID: I20160916002254 |
| Provider Name | Katherine R Flint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538693932 PECOS PAC ID: 7810266640 Enrollment ID: I20170710002177 |
| Provider Name | Kevin Douglas Junkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629344858 PECOS PAC ID: 9335441088 Enrollment ID: I20170810003180 |
| Provider Name | Joanna Carol Ranhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740704972 PECOS PAC ID: 2062785231 Enrollment ID: I20170911000706 |
| Provider Name | Yvonne Marie Staschiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932625597 PECOS PAC ID: 4688949761 Enrollment ID: I20170929002223 |
| Provider Name | Sarah K Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841706884 PECOS PAC ID: 0042552333 Enrollment ID: I20190508003420 |
| Provider Name | Nathaniel Shay Linger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942656400 PECOS PAC ID: 3173814027 Enrollment ID: I20190612001944 |
| Provider Name | Angela Megan Sessions |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710546296 PECOS PAC ID: 7315271012 Enrollment ID: I20190718001577 |
| Provider Name | Ashley Renee Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922634567 PECOS PAC ID: 4183054190 Enrollment ID: I20200415000487 |
| Provider Name | Rachel N Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609401520 PECOS PAC ID: 7810310208 Enrollment ID: I20200701001996 |
| Provider Name | Sarah Alice Curry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265964449 PECOS PAC ID: 1850663493 Enrollment ID: I20200826004011 |
| Provider Name | Diana Lynn Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356969927 PECOS PAC ID: 5395162762 Enrollment ID: I20200831001660 |
| Provider Name | Andrea Jo Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164039061 PECOS PAC ID: 2264852409 Enrollment ID: I20201009000133 |
| Provider Name | Katelyn Elizabeth Winans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598407595 PECOS PAC ID: 2062899446 Enrollment ID: I20220525000219 |
| Provider Name | Penny N Cutlip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972237857 PECOS PAC ID: 0941682041 Enrollment ID: I20220805002752 |
| Provider Name | Brandi C Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134853278 PECOS PAC ID: 6709268733 Enrollment ID: I20220808000351 |
| Provider Name | Denzil Willard Hawkinberry |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1376644401 PECOS PAC ID: 0345205340 Enrollment ID: I20221219000160 |
| Provider Name | Betsy Coulter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205312329 PECOS PAC ID: 6901278639 Enrollment ID: I20230207000832 |
| Provider Name | Jane Mowry Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497481840 PECOS PAC ID: 1850759242 Enrollment ID: I20230616000290 |
| Provider Name | Abbie Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003307588 PECOS PAC ID: 5395084198 Enrollment ID: I20231226000009 |
| Provider Name | Elizabeth A Shelton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053068718 PECOS PAC ID: 0345684346 Enrollment ID: I20240219000179 |
| Provider Name | Jessica Rose Criser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750145637 PECOS PAC ID: 1254777113 Enrollment ID: I20240313003687 |
| Provider Name | Megan Lynnette Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063960730 PECOS PAC ID: 8022306331 Enrollment ID: I20240715000922 |
| Provider Name | Timothy J Underwood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063558690 PECOS PAC ID: 2567903180 Enrollment ID: I20240924000661 |
| Provider Name | Amy Leibli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316456981 PECOS PAC ID: 1759627672 Enrollment ID: I20250211001833 |
| Provider Name | Toni Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225557812 PECOS PAC ID: 0042576985 Enrollment ID: I20250228001827 |
| Provider Name | Alexandra Michelle Moses |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083280895 PECOS PAC ID: 6901324722 Enrollment ID: I20250515002330 |
Community Care Of West Virginia, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55 Little Birch Rd, Sutton, WV 26601 Phone: 304-924-6262 Fax: 304-924-5460 | |
J2 Osteopathic Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 485 Old Turnpike Rd, Sutton, WV 26601 Phone: 304-765-9500 Fax: 304-765-9502 | |
Community Care Of West Virginia, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Carter Braxton Dr, Sutton, WV 26601 Phone: 304-765-2644 Fax: 304-765-2696 | |
Community Care Of West Virginia, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Jerry Burton Dr, Sutton, WV 26601 Phone: 304-765-7331 Fax: 304-765-7976 | |
Braxton County Board Of Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 617 Old Turnpike Road, Sutton, WV 26601 Phone: 304-765-2851 Fax: 304-765-2020 | |
Arturo B. Sabio M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 196 Riverview Dr, Sutton, WV 26601 Phone: 304-765-5943 Fax: 304-765-4003 |