CABIN CREEK HEALTH CENTER, INC. (NPI# 1063932929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063932929 |
| Entity Type | Organization |
| Organization Name | CABIN CREEK HEALTH CENTER, INC. |
| Other Organization Name | CABIN CREEK HEALTH CENTER, INC. AT KCHD |
| Practice Address |
108 Lee St E Charleston WV 25301-1506 |
| Mailing Address |
Po Box 70 Dawes WV 25054-0070 |
| Practice Telephone | 3047342040 |
| Practice Fax Number | 3047342047 |
| Mailing Telephone | 3047342040 |
| Mailing Fax Number | 3047342047 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-06-22 |
| Authorized Official Name | JENNIFER RUSSELL (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 3047342040 |
| Is Organization Subpart | Y |
| Parent Organization Name | CABIN CREEK HEALTH CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cabin Creek Health Center, Inc. at KCHD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821377292 | Cabin Creek Health Center, Inc. | Clinic/Center | 1st & Brannon Street, East Bank, WV 25067-9752 | 2011-08-16 |
| 1780962340 | Cabin Creek Health Center, Inc. | Clinic/Center | 6100 Sissonville Dr, Charleston, WV 25312-9444 | 2011-08-01 |
| 1225257850 | Cabin Creek Health Center, Inc. | Clinical Medical Laboratory | State Rte 79, Dawes, WV 25054 | 2007-04-24 |
| 1538214077 | Cabin Creek Health Center, Inc. | Clinic/Center | 1 Warrior Way, Suite 103, Belle, WV 25015-1358 | 2007-01-24 |
| 1437199742 | Cabin Creek Health Center, Inc. | Clinic/Center | 107 Koontz Ave., Suite 200, Clendenin, WV 25045 | 2006-06-07 |
| 1366495525 | Cabin Creek Health Center, Inc. | Clinic/Center | Route 79, Dawes, WV 25054-0070 | 2006-05-18 |
| 1588908362 | Cabin Creek Health Center, Inc. | Clinic/Center | 4602 Maccorkle Ave Se, Charleston, WV 25304-1848 | 2012-11-19 |
| Street Address |
108 LEE ST E |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25301-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043201619 | Kanawha-charleston Health Department | Home Health | 108 Lee St E, Charleston, WV 25301-1506 | 2005-11-02 |
| 1679929251 | Kanawha Charleston Health Department | Preventive Medicine | 108 Lee St E, Charleston, WV 25301-1506 | 2016-05-12 |
| 1700918240 | Janice J Miller | Family Medicine | 108 Lee St E, Charleston, WV 25301-1506 | 2007-03-11 |
| 1952499527 | Kanawha Charleston Health Department | Public Health or Welfare | 108 Lee St E, Charleston, WV 25301-1506 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087680 | Kerrie Rena Harris | Counselor | 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 | 2020-09-15 |
| 1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
| 1104322320 | Kara Caldwell | Psychologist | 333 Laidley St., 4'th Floor East, Charleston, WV 25301 | 2018-04-05 |
| 1740638022 | Christina Phalen | Pharmacy Technician | 701 Lee Street East, Charleston, WV 25301 | 2016-05-27 |
| 1366867079 | Brooke Powell Garnes | Speech-Language Pathologist | 1313 Quarrier Street, Suite A, Charleston, WV 25301 | 2014-03-04 |
| 1952648404 | Implanted Pump Management, LLC | Home Infusion | 311 Laidley St., Suite 202, Charleston, WV 25301 | 2013-01-03 |
| 1730435108 | Chaitanya Mishra | Internal Medicine | 501 Morris St Ste 357, Charleston, WV 25301 | 2012-08-03 |
| 1033477278 | James Stephen Harman | Neurological Surgery | 415 Morris St Ste 400, Charleston, WV 25301 | 2012-04-25 |
| 1265674329 | Howard and Howard Dental LLC | Dentist | 1321 Virginia St., Charleston, WV 25301 | 2009-04-03 |
| 1881856144 | Steven David Hollosi | Emergency Medicine | 501 Morris St., Charleston, WV 25301 | 2008-06-27 |
| Find all providers in zip 25301 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1073748927 | Complementary Cancer Care Inc. | Clinic/Center | 86 Jonathan Lucas St, Charleston, SC 29425-8900 | 2009-05-21 |
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| 1033699087 | E. A. Hawse Health Center, Inc. | Clinic/Center | 207 Viking Dr, Petersburg, WV 26847-1674 | 2018-08-20 |
| 1659851830 | E. A. Hawse Health Center, Inc. | Clinic/Center | Us Highway 220, Moorefield, WV 26836 | 2018-08-17 |
| 1417437591 | E. A. Hawse Health Center, Inc. | Clinic/Center | 345 Caledonia Heights Rd, Moorefield, WV 26836-8455 | 2018-08-17 |
| 1902162092 | Mountaineer Accountable Care | Clinic/Center | Rt 79 114 Bern Drive, Dawes, WV 25054-0070 | 2012-04-03 |
| 1548357072 | Summers County Board of Health | Clinic/Center | 151 Pleasant St, Hinton, WV 25951 | 2006-10-06 |
| 1295359941 | Met-r Integrated Health, Inc. | Clinic/Center | 123 Hovatter Dr, Inwood, WV 25428-1298 | 2020-05-28 |
| 1841611571 | Megan Shickle | Clinic/Center | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2013-12-24 |
| 1669793287 | Monongahela Valley Association of Health Centers, Inc. | Clinic/Center | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2010-06-17 |
| 1316166432 | Mcdowell County Commission On Aging | Clinic/Center | 725 Stewart St, Welch, WV 24801-2125 | 2007-04-25 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 25301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.