Pendleton Community Care Inc
NPI 1912314667 · Federally Qualified Health Center (FQHC) · Brandywine, 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 Brandywine, WV (NPI 1912314667).
Provider details
- NPI number
- 1912314667
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jamie Hudson, Ceo(304) 358-2355
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
11 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)
- Other name
- Brandywine Elementary School Sbhc
Registry dates
- Enumerated
- 2014-07-15
- 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 1912314667, 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 11480 Blue Gray Trail, Brandywine, WV 26802-0247.
- 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) 249-5381.
- 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 (1912314667) 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.