Organization
CABIN CREEK HEALTH CENTER, INC.
Active
Organization
CABIN CREEK HEALTH CENTER, INC.
Active
Other names
Riverside Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG ROBINSON MPH (EXECUTIVE DIRECTOR)
(304) 734-2040
Entity
Organization
Contact information
Practice address
1 WARRIOR WAY, SUITE 103, BELLE, WV 25015-1358
(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
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0905008001
—
WV
Enumeration date
01/24/2007
Last updated
02/27/2008
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