Organization
CABIN CREEK HEALTH CENTER, INC.
Active
Organization
CABIN CREEK HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG H. ROBINSON MPH (EXECUTIVE DIRECTOR)
(304) 734-2040
Entity
Organization
Contact information
Practice address
ROUTE 79, DAWES, WV 25054-0070
(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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
031820
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710317
MS BCBS
WV
01
—
001835095
MS BCBS
WV
01
—
001881671
MS BCBS
WV
05
—
0905008000
—
WV
Enumeration date
05/18/2006
Last updated
04/22/2008
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