Community Care of West Virginia, Inc.
NPI 1104175058 · Federally Qualified Health Center (FQHC) · Sutton, WV
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Community Care of West Virginia, Inc. is a Federally Qualified Health Center (FQHC) organization in Sutton, WV (NPI 1104175058).
Provider details
- NPI number
- 1104175058
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Community Care of West Virginia, Inc.
- Organization subpart
- Yes
- Authorized official
- Richard Simon, Ceo(304) 924-6262
- License
- 2274-1062 (WV)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Braxton County Middle School Wellness Center
Registry dates
- Enumerated
- 2012-09-06
- Last updated
- 2012-10-02
Frequently asked questions
- What is Community Care of West Virginia, Inc.'s NPI number?
- Community Care of West Virginia, Inc.'s National Provider Identifier (NPI) is 1104175058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Community Care of West Virginia, Inc.?
- Community Care of West Virginia, Inc. is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Community Care of West Virginia, Inc. located?
- Community Care of West Virginia, Inc.'s practice location on file with NPPES is 100 Carter Braxton Dr, Sutton, WV 26601-9773.
- What is Community Care of West Virginia, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Community Care of West Virginia, Inc. is (304) 765-2644.
- Does Community Care of West Virginia, Inc. accept Medicare?
- Community Care of West Virginia, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Community Care of West Virginia, Inc.?
- The authorized official listed on Community Care of West Virginia, Inc.'s NPPES record is Richard Simon, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Community Care of West Virginia, Inc.'s NPI active?
- Yes — Community Care of West Virginia, Inc.'s NPI (1104175058) is active in the NPPES registry as of the last update on 2012-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.