| | Randolph County | WV | 54083 | | Elkins, WV 21180 | | Central | nonmetro county (rural) | nonspecialized | https://maps.google.com/?q=RandolphCounty+WV |
| | Ritchie County | WV | 54085 | | | | | nonmetro county (rural) | manufacturing-dependent | https://maps.google.com/?q=RitchieCounty+WV |
| | Roane County | WV | 54087 | | | | | nonmetro county (rural) | mining-dependent | https://maps.google.com/?q=RoaneCounty+WV |
| | Summers County | WV | 54089 | | | | | nonmetro county (rural) | nonspecialized | https://maps.google.com/?q=SummersCounty+WV |
| | Taylor County | WV | 54091 | | Clarksburg, WV 17220 | Fairmont-Clarksburg, WV 242 | Outlying | nonmetro county (rural) | nonspecialized | https://maps.google.com/?q=TaylorCounty+WV |
| | Tucker County | WV | 54093 | | | | | nonmetro county (rural) | federal/state
government-dependent | https://maps.google.com/?q=TuckerCounty+WV |
| | Tyler County | WV | 54095 | | | | | nonmetro county (rural) | manufacturing-dependent | https://maps.google.com/?q=TylerCounty+WV |
| | Upshur County | WV | 54097 | | | | | nonmetro county (rural) | mining-dependent | https://maps.google.com/?q=UpshurCounty+WV |
| | Wayne County | WV | 54099 | | Huntington-Ashland,
WV-KY-OH 26580 | Charleston-Huntington-Ashland,
WV-OH-KY 170 | Central | metro county (urban) | federal/state
government-dependent | https://maps.google.com/?q=WayneCounty+WV |
| | Webster County | WV | 54101 | | | | | nonmetro county (rural) | mining-dependent | https://maps.google.com/?q=WebsterCounty+WV |