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Organization

CABIN CREEK HEALTH CENTER, INC.

Active
Parent organization
CABIN CREEK HEALTH CENTER, INC.
Other names
Cabin Creek Health Center, Inc. at KCHD
Organization subpart
Yes

Provider details

NPI number
Legal business name
CABIN CREEK HEALTH CENTER, INC.
Authorized official
JENNIFER RUSSELL (ADMINISTRATIVE ASSISTANT)
(304) 734-2040
Entity
Organization

Contact information

Practice address
108 LEE ST E, CHARLESTON, WV 25301-1506
(304) 734-2040
(304) 734-2047
Mailing address
PO BOX 70, DAWES, WV 25054-0070
(304) 734-2040
(304) 734-2047

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary

Other

Enumeration date
06/22/2017
Last updated
06/22/2017
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