CABIN CREEK HEALTH CENTER, INC. (NPI# 1821377292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821377292 |
| Entity Type | Organization |
| Organization Name | CABIN CREEK HEALTH CENTER, INC. |
| Other Organization Name | PIONEER HEALTH CENTER |
| Practice Address |
1st & Brannon Street East Bank WV 25067-9752 |
| Mailing Address |
Po Box 70 Dawes WV 25054-0070 |
| Practice Telephone | 3045955068 |
| Mailing Telephone | 3047342040 |
| Mailing Fax Number | 3047342047 |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |
| 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) |
1041-6374 | WV | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pioneer Health Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
1ST & BRANNON STREET |
| City | EAST BANK |
| State | WV |
| Zip Code | 25067-9752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083225619 | Crystal Dawn Hughes | Technician | 112 Surface St, East Bank, WV 25067 | 2020-08-17 |
| 1881140663 | Custom Home Elevator of W V | Durable Medical Equipment & Medical Supplies | 100 Pioneer Street, East Bank, WV 25067-0483 | 2016-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083225619 | Crystal Dawn Hughes | Technician | 112 Surface St, East Bank, WV 25067 | 2020-08-17 |
| 1881140663 | Custom Home Elevator of W V | Durable Medical Equipment & Medical Supplies | 100 Pioneer Street, East Bank, WV 25067-0483 | 2016-08-31 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.