Organization
CABIN CREEK HEALTH CENTER, INC.
Active
Other names
Indian 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
6100 SISSONVILLE DR, CHARLESTON, WV 25312-9444
(304) 984-1361
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
1041-6374
WV
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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