CABIN CREEK HEALTH CENTER, INC. (NPI# 1538214077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538214077 |
| Entity Type | Organization |
| Organization Name | CABIN CREEK HEALTH CENTER, INC. |
| Other Organization Name | RIVERSIDE HEALTH CENTER |
| Practice Address |
1 Warrior Way Suite 103 Belle WV 25015-1358 |
| 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 | 2007-01-24 |
| Last Update Date | 2008-02-27 |
| Authorized Official Name | CRAIG ROBINSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3047342040 |
| Authorized Official Credential | MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
WV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0905008001 | 05 |
| Other Name | Type Code |
|---|---|
| Riverside Health Center | 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 |
| 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 |
1 WARRIOR WAY SUITE 103 |
| City | BELLE |
| State | WV |
| Zip Code | 25015-1358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235367335 | Jessica Marie Mccolley | Family Medicine | 1 Warrior Way, Belle, WV 25015-1356 | 2009-06-26 |
| 1659543940 | Catherine A Kitchen | Physician Assistant | 1 Warrior Way, Belle, WV 25015-1356 | 2008-03-27 |
| 1659550887 | Allison Lee Cook | Physician Assistant | 1 Warrior Way, Belle, WV 25015-1356 | 2007-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811140395 | Megan Sims Sweeney | Nurse Anesthetist, Certified Registered | 80 W 34th St, Belle, WV 25015-1023 | 2008-10-29 |
| 1265748701 | Candice Slate | Pharmacist | 3175 W Dupont Ave, Belle, WV 25015-1075 | 2010-08-22 |
| 1760591093 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 3175 West Dupont Avenue, Belle, WV 25015-1075 | 2006-08-30 |
| 1265730550 | Calvern Rudolph Bushay | Pharmacist | 3175 W Dupont Ave, Belle, WV 25015-1075 | 2011-03-10 |
| 1790072916 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1001 Warrior Way, Quincy, WV 25015-1300 | 2011-07-08 |
| 1700487113 | Lindsey Muscari | Pharmacist | 1001 Warrior Way, Quincy, WV 25015-1300 | 2020-11-03 |
| 1780180810 | Allison Richmond Williams | Pharmacist | 1001 Warrior Way, Quincy, WV 25015-1300 | 2018-04-05 |
| 1669647046 | Angela Rose Vance | Massage Therapist | 312 Diamond Ave, Belle, WV 25015-1303 | 2008-04-25 |
| 1568988285 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2100 E Dupont Ave, Belle, WV 25015-1348 | 2017-08-15 |
| 1780087338 | Riverside Health Center Lab | Family Medicine | 1 Warrior Way Ste 103, Belle, WV 25015-1356 | 2014-09-26 |
| Find all providers in zip 25015 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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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.