CABIN CREEK HEALTH CENTER INC (NPI# 1801836341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801836341 |
| Entity Type | Organization |
| Organization Name | CABIN CREEK HEALTH CENTER INC |
| Other Organization Name | SISSONVILLE HEALTH CENTER |
| Practice Address |
7133 Sissonville Dr Sissonville WV 25320-9738 |
| Practice Telephone | 3049841576 |
| Mailing Telephone | 3049841576 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2015-06-11 |
| Authorized Official Name | CRAIG H. 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) |
031820 | WV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810005146 | 05 | |
| WV | 3810006994 | 05 |
| Other Name | Type Code |
|---|---|
| Sissonville Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851843965 | Cabin Creek Health Center Inc | Pharmacy | 6135 Sissonville Dr, Charleston, WV 25312-9444 | 2016-10-25 |
| Street Address |
7133 SISSONVILLE DR |
| City | SISSONVILLE |
| State | WV |
| Zip Code | 25320-9738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780087346 | Sissonville Health Center | Family Medicine | 7133 Sissonville Dr, Sissonville, WV 25320-9738 | 2014-09-26 |
| 1679705925 | Faye Williamson | Physician Assistant | 7133 Sissonville Dr, Sissonville, WV 25320-9738 | 2009-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382190 | Liquitta Gibson | Technician | 7142 Sissonville Dr, Charleston, WV 25320 | 2020-10-08 |
| 1265778617 | Jeanie Lou Smith | Occupational Therapy Assistant | 302 Ceder Ridge Rd., Sissonville, WV 25320 | 2012-12-12 |
| 1346855533 | Vanessa Ann Counts | Technician | 5231 Legg Fork Rd, Sissonville, WV 25320-5557 | 2020-09-14 |
| 1104336973 | Megan E Bowman | Speech-Language Pathologist | 87 Old Horse Hill Rd, Sissonville, WV 25320-5760 | 2017-10-06 |
| 1720699846 | Thomas Arthur Fisher | Technician | 907 Haines Branch Rd, Charleston, WV 25320-7187 | 2020-08-12 |
| 1417348707 | Ashley Slater | Occupational Therapy Assistant | 600 Hicumbottom Run Rd, Sissonville, WV 25320-7196 | 2015-02-09 |
| 1013535277 | Strarting Somewhere Corp | Prevention Professional | 1626 Poca River Rd, Charleston, WV 25320-7236 | 2020-07-13 |
| 1346850245 | Lisa Fannin | Technician | 79 Andover Ln, Charleston, WV 25320-7770 | 2020-08-05 |
| 1013515337 | Kelly Renee Cottrell | Technician | 504 Jenna Way, Sissonville, WV 25320-9311 | 2020-10-09 |
| 1144276197 | Glenmark Associates, Inc | Non-emergency Medical Transport (VAN) | 302 Cedar Ridge Rd, Sissonville, WV 25320-9502 | 2006-05-25 |
| Find all providers in zip 25320 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1740836873 | Williamson Health & Wellness Center Inc | Clinic/Center | 5 Parkway Dr, Williamson, WV 25661-3428 | 2019-08-14 |
| 1699321729 | Williamson Health & Wellness Center Inc | Clinic/Center | 50 Panther Blvd, Williamson, WV 25661-7441 | 2019-08-14 |
| 1083260129 | Williamson Health & Wellness Center Inc | Clinic/Center | 300 Blue Devil Lane, Kermit, WV 25661 | 2019-08-14 |
| 1225684731 | Williamson Health & Wellness Center Inc | Clinic/Center | 1000 King Coal Hwy, Delbarton, WV 25670-9529 | 2019-08-12 |
| Find all providers with the same taxonomy | ||||
| City | SISSONVILLE |
| Zip Code | 25320 |
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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.