CABIN CREEK HEALTH CENTER, INC. (NPI# 1225257850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225257850 |
Entity Type | Organization |
Organization Name | CABIN CREEK HEALTH CENTER, INC. |
Practice Address |
State Rte 79 Dawes WV 25054 |
Mailing Address |
Route 79 Po Box 70 Dawes WV 25054 |
Practice Telephone | 3045955006 |
Practice Fax Number | 3045952936 |
Mailing Telephone | 3045955006 |
Mailing Fax Number | 3045952936 |
Enumeration Date | 2007-04-24 |
Last Update Date | 2020-08-22 |
Authorized Official Name | CRAIG H ROBINSON (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 3047342040 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | 037198 | WV | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 5580097000 | 05 |
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 |
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 |
1063932929 | Cabin Creek Health Center, Inc. | Clinic/Center | 108 Lee St E, Charleston, WV 25301-1506 | 2017-06-22 |
1588908362 | Cabin Creek Health Center, Inc. | Clinic/Center | 4602 Maccorkle Ave Se, Charleston, WV 25304-1848 | 2012-11-19 |
Street Address |
STATE RTE 79 |
City | DAWES |
State | WV |
Zip Code | 25054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336467117 | Debora Jean Bail | Pharmacist | 5722 Cabin Creek Drive, Dawes, WV 25054 | 2010-05-04 |
1225194848 | Amy Wayne Brabbin | Pharmacist | State Route 79, Dawes, WV 25054 | 2006-12-28 |
1306921556 | Sue Ann Westfall | Family Medicine | 5722 Cabin Creek Road, Suite A, Dawes, WV 25054 | 2006-10-26 |
1306838685 | Brian E Sayre | Pharmacist | Sr 79, Dawes, WV 25054 | 2005-08-22 |
1457892705 | Dannel Karl Petgrave | Psychologist | 5722 Cabin Creek Rd, Dawes, WV 25054 | 2017-03-19 |
1912440652 | Tiffany Hughes | Nurse Practitioner | 5722 Cabin Creek Road, Dawes, WV 25054 | 2016-11-29 |
1134582281 | Sarah Hansen | Registered Nurse | 5722 Cabin Creek Rd, Dawes, WV 25054 | 2016-04-05 |
1972994788 | Jerad Lee Bailey | Pharmacist | 5722 Cabin Creek Road, Dawes, WV 25054 | 2015-02-16 |
1457754988 | Cabin Creek Health Center Lab | Family Medicine | 5722 Cabin Creek Rd, Dawes, WV 25054 | 2014-09-29 |
1083850382 | Megan Olish-terry | Physician Assistant | Route 79, Dawes, WV 25054 | 2008-12-17 |
Find all providers in zip 25054 |
Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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1831647403 | West Virginia Drug Testing Laboratories | Clinical Medical Laboratory | 108 S Walker St, Princeton, WV 24740-2745 | 2016-09-13 |
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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.