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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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