Organization
CABIN CREEK HEALTH CENTER INC
Active
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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