Organization
CABIN CREEK HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG H ROBINSON (EXECUTIVE DIRECTOR)
(304) 734-2040
Entity
Organization
Contact information
Practice address
STATE RTE 79, DAWES, WV 25054
(304) 595-5006
(304) 595-2936
Mailing address
ROUTE 79, PO BOX 70, DAWES, WV 25054
(304) 595-5006
(304) 595-2936
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
037198
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5580097000
—
WV
Enumeration date
04/24/2007
Last updated
08/22/2020
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