Pendleton Community Care, Inc.
NPI 1417931379 · Federally Qualified Health Center (FQHC) · Riverton, WV
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pendleton Community Care, Inc. is a Federally Qualified Health Center (FQHC) organization in Riverton, WV (NPI 1417931379).
Provider details
- NPI number
- 1417931379
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jamie Hudson, Ceo(304) 358-7230
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
20 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
- North Fork Primary Care Clinic
Registry dates
- Enumerated
- 2005-12-05
- Last updated
- 2016-07-19
Frequently asked questions
- What is Pendleton Community Care, Inc.'s NPI number?
- Pendleton Community Care, Inc.'s National Provider Identifier (NPI) is 1417931379, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pendleton Community Care, Inc.?
- Pendleton Community Care, Inc. is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Pendleton Community Care, Inc. located?
- Pendleton Community Care, Inc.'s practice location on file with NPPES is 16921 Mountaineer Drive, Riverton, WV 26814-0101.
- What is Pendleton Community Care, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Pendleton Community Care, Inc. is (304) 567-2101.
- Does Pendleton Community Care, Inc. accept Medicare?
- Pendleton Community Care, 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 Pendleton Community Care, Inc.?
- The authorized official listed on Pendleton Community Care, Inc.'s NPPES record is Jamie Hudson, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pendleton Community Care, Inc.'s NPI active?
- Yes — Pendleton Community Care, Inc.'s NPI (1417931379) is active in the NPPES registry as of the last update on 2016-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.