Organization · Type 2 NPI

Community Care of West Virginia, Inc.

Federally Qualified Health Center (FQHC) · Clay, WV

NPI number 1669422432 Active

Practice location

168 Church St
Clay, WV 25043-9420

Call (304) 587-6045 Map

Fax (304) 587-6045

Mailing address

PO Box 147
Clay, WV 25043-0147

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	2267-7441 (WV)

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Makayla JohnsonBehavior Technician Clay, WV NPI 1114531712

Other federally qualified health center (fqhc) providers in Clay

See all in Clay →

NPI record

NPI: 1669422432
Entity type: Organization (Type 2)
Issued: May 11, 2006
Last updated: May 15, 2026
Status: Active
Subpart: Yes of Community Care of West Virginia, Inc.

Other names

<unavail>
Clay County Elementary School Wellness Center · doing business as

Authorized official

Dora L Potasnik
Credentialing
(304) 317-7275

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669422432

Community Care of West Virginia, Inc.'s National Provider Identifier is 1669422432, issued on May 11, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Clay, WV. The record was last updated on May 15, 2026.