CABIN CREEK HEALTH CENTER, INC. (NPI# 1780962340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780962340 |
| Entity Type | Organization |
| Organization Name | CABIN CREEK HEALTH CENTER, INC. |
| Other Organization Name | INDIAN HEALTH CENTER |
| Practice Address |
6100 Sissonville Dr Charleston WV 25312-9444 |
| Mailing Address |
Po Box 70 Dawes WV 25054-0070 |
| Practice Telephone | 3049841361 |
| Mailing Telephone | 3047342040 |
| Mailing Fax Number | 3047342047 |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-08-01 |
| Authorized Official Name | CRAIG ROBINSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3047342040 |
| Authorized Official Credential | MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
1041-6374 | WV | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Indian Health Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821377292 | Cabin Creek Health Center, Inc. | Clinic/Center | 1st & Brannon Street, East Bank, WV 25067-9752 | 2011-08-16 |
| 1225257850 | Cabin Creek Health Center, Inc. | Clinical Medical Laboratory | State Rte 79, Dawes, WV 25054 | 2007-04-24 |
| 1538214077 | Cabin Creek Health Center, Inc. | Clinic/Center | 1 Warrior Way, Suite 103, Belle, WV 25015-1358 | 2007-01-24 |
| 1437199742 | Cabin Creek Health Center, Inc. | Clinic/Center | 107 Koontz Ave., Suite 200, Clendenin, WV 25045 | 2006-06-07 |
| 1366495525 | Cabin Creek Health Center, Inc. | Clinic/Center | Route 79, Dawes, WV 25054-0070 | 2006-05-18 |
| 1063932929 | Cabin Creek Health Center, Inc. | Clinic/Center | 108 Lee St E, Charleston, WV 25301-1506 | 2017-06-22 |
| 1588908362 | Cabin Creek Health Center, Inc. | Clinic/Center | 4602 Maccorkle Ave Se, Charleston, WV 25304-1848 | 2012-11-19 |
| Street Address |
6100 SISSONVILLE DR |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25312-9444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609362391 | Ten Up Ministries, Inc | Counselor | 6697 Rocky Fork Road, Charleston, WV 25312 | 2018-07-05 |
| 1215443890 | Jodie Louise Carr | Technician | 52 Bayles Drive, Charleston, WV 25312 | 2017-12-19 |
| 1760886824 | First Settlement Physical Therapy | Physical Therapist | 6281 Sissonville Dr, Suite B, Charleston, WV 25312 | 2014-10-20 |
| 1790947000 | Gavin Neil Hogue | Preventive Medicine | 102 Patrick St, Charleston, WV 25312 | 2008-06-27 |
| 1942487822 | Kines Family Pharmacy Inc | Pharmacy | 6097 Sissonville Dr, Charleston, WV 25312 | 2008-01-23 |
| 1447336870 | Sissonville Dental Care Center | Dentist | 1086 Martins Branch Road, Charleston, WV 25312 | 2006-10-27 |
| 1497838981 | Philip Andrew Vicini | Dentist | 2018 Martins Branch Drive, Sissonville, WV 25312 | 2006-10-20 |
| 1487752085 | Charles Lester Smith | Dentist | 1501 7th Ave, Charleston, WV 25312 | 2006-09-20 |
| 1710085246 | Richard Duff Smith | Dentist | 1501 Seventh Avenue, Charleston, WV 25312 | 2006-09-20 |
| 1144337395 | Jon Christopher Smith | Dentist | 1501 Seventh Ave, Charleston, WV 25312 | 2006-08-24 |
| Find all providers in zip 25312 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790276525 | Womencare Inc | Clinic/Center | 812 Park Ave # 35, Charleston, WV 25302 | 2018-05-29 |
| 1447741236 | Womencare Inc | Clinic/Center | 1500 Greenbrier St # 160, Charleston, WV 25311-1007 | 2018-05-29 |
| 1760920987 | Womencare Inc | Clinic/Center | 501 Stockton St, Charleston, WV 25387-2429 | 2017-02-08 |
| 1871872184 | Womencare Inc | Clinic/Center | 100 Florida Street, Charleston, WV 25302-1131 | 2011-08-04 |
| 1770745036 | Womencare Inc | Clinic/Center | 108 Washington St W Ste 201, Charleston, WV 25302-2344 | 2008-06-27 |
| 1679190771 | Fetter Health Care Network, Inc | Clinic/Center | 51 Nassau St, Charleston, SC 29403-5513 | 2020-07-06 |
| 1194211243 | Fetter Health Care Network, Inc. | Clinic/Center | 51 Nassau St, Charleston, SC 29403 | 2018-07-02 |
| 1982124301 | Fetter Health Care Network, Inc. | Clinic/Center | 35 Walnut St, Charleston, SC 29403-4514 | 2017-06-27 |
| 1245639095 | Fetter Health Care Network Inc | Clinic/Center | 700 Rutledge Ave, Charleston, SC 29403-4145 | 2014-08-18 |
| 1265868327 | Valley Health Systems, Inc | Clinic/Center | 1520 Washington St E, Charleston, WV 25311-2511 | 2013-09-20 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25312 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.