Organization
CABIN CREEK HEALTH CENTER INC
Active
Other names
Sissonville Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG H. ROBINSON MPH (EXECUTIVE DIRECTOR)
(304) 734-2040
Entity
Organization
Contact information
Practice address
7133 SISSONVILLE DR, SISSONVILLE, WV 25320-9738
(304) 984-1576
Mailing address
7133 SISSONVILLE DR, SISSONVILLE, WV 25320-9738
(304) 984-1576
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
031820
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810005146
—
WV
05
—
3810006994
—
WV
Enumeration date
06/06/2006
Last updated
06/11/2015
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