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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