Organization
CABIN CREEK HEALTH CENTER, INC.
Active
Parent organization
CABIN CREEK HEALTH CENTER, INC.
Other names
Westside Health Center
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
303 OHIO AVE, CHARLESTON, WV 25302-2212
(304) 734-2040
Mailing address
104 ALEX LN, CHARLESTON, WV 25304-2952
(304) 734-2040
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
07/30/2025
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