CABIN CREEK HEALTH CENTER INC (NPI# 1851843965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851843965 |
| Entity Type | Organization |
| Organization Name | CABIN CREEK HEALTH CENTER INC |
| Other Organization Name | SISSONVILLE HEALTH CENTER PHARMACY |
| Practice Address |
6135 Sissonville Dr Charleston WV 25312-9444 |
| Mailing Address |
Po Box 70 Dawes WV 25054-0070 |
| Practice Telephone | 3043438030 |
| Practice Fax Number | 3043438031 |
| Mailing Telephone | 3043438030 |
| Mailing Fax Number | 3043438031 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | RHONDA WRIGHT (FINANCIAL ADMINISTRATOR) |
| Authorized Official Telephone | 3045955065 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
MP0552428 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 1851843965 | 05 | |
| PK | 2170333 | 01 |
| Other Name | Type Code |
|---|---|
| Sissonville Health Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801836341 | Cabin Creek Health Center Inc | Clinic/Center | 7133 Sissonville Dr, Sissonville, WV 25320-9738 | 2006-06-06 |
| Street Address |
6135 SISSONVILLE DR |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25312-9444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881749380 | Nafiseh F. Woodard | Family Medicine | 6135 Sissonville Dr, Charleston, WV 25312-9444 | 2007-01-24 |
| 1912411349 | Joshua Earl Carter | Psychologist | 6135 Sissonville Dr, Charleston, WV 25312-9444 | 2017-11-21 |
| 1871018168 | Heidi Bissell | Nurse Practitioner | 6135 Sissonville Dr, Charleston, WV 25312 | 2017-08-08 |
| 1326584897 | Brenna Ross | Pharmacist | 6135 Sissonville Dr, Charleston, WV 25312-9444 | 2017-01-09 |
| 1437547361 | Isaac Ashley | Family Medicine | 6135 Sissonville Dr, Charleston, WV 25312-9444 | 2014-12-30 |
| 1861793358 | Shana F Wandling | Nurse Practitioner | 6135 Sissonville Dr, Charleston, WV 25312-9444 | 2010-11-15 |
| 1184935330 | Emily Marie Selby-nelson | Psychologist | 6135 Sissonville Dr, Charleston, WV 25312-9444 | 2010-06-23 |
| 1114161940 | Hillary J Homburg | Dentist | 6135 Sissonville Dr, Charleston, WV 25312-9444 | 2009-04-23 |
| 1790920122 | Donna M Burton | Nurse Practitioner | 6135 Sissonville Dr, Charleston, WV 25312-9444 | 2008-12-15 |
| 1295880938 | Jill Fields | Physician Assistant | 6135 Sissonville Dr, Charleston, WV 25312-9444 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609362391 | Ten Up Ministries, Inc | Counselor | 6697 Rocky Fork Road, Charleston, WV 25312 | 2018-07-05 |
| 1215443890 | Jodie Louise Carr | Technician | 52 Bayles Drive, Charleston, WV 25312 | 2017-12-19 |
| 1760886824 | First Settlement Physical Therapy | Physical Therapist | 6281 Sissonville Dr, Suite B, Charleston, WV 25312 | 2014-10-20 |
| 1790947000 | Gavin Neil Hogue | Preventive Medicine | 102 Patrick St, Charleston, WV 25312 | 2008-06-27 |
| 1942487822 | Kines Family Pharmacy Inc | Pharmacy | 6097 Sissonville Dr, Charleston, WV 25312 | 2008-01-23 |
| 1447336870 | Sissonville Dental Care Center | Dentist | 1086 Martins Branch Road, Charleston, WV 25312 | 2006-10-27 |
| 1497838981 | Philip Andrew Vicini | Dentist | 2018 Martins Branch Drive, Sissonville, WV 25312 | 2006-10-20 |
| 1487752085 | Charles Lester Smith | Dentist | 1501 7th Ave, Charleston, WV 25312 | 2006-09-20 |
| 1710085246 | Richard Duff Smith | Dentist | 1501 Seventh Avenue, Charleston, WV 25312 | 2006-09-20 |
| 1144337395 | Jon Christopher Smith | Dentist | 1501 Seventh Ave, Charleston, WV 25312 | 2006-08-24 |
| Find all providers in zip 25312 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447584115 | Kerr Health, LLC | Pharmacy | 5060 International Blvd Ste 102, Charleston, SC 29418-6008 | 2009-09-28 |
| 1295840148 | Medical University of Sc | Pharmacy | 650 Ellis Oak Dr Rm 119, Charleston, SC 29412-3089 | 2006-08-20 |
| 1205978509 | Charleston Area Medical Center, Inc. | Pharmacy | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356732192 | Wirt County Health Svc Assoc Inc | Pharmacy | 512 Church St S, Ripley, WV 25271-1616 | 2015-02-16 |
| 1609194505 | New River Health Association, Inc. | Pharmacy | 302 W. Main St, Sophia, WV 25921 | 2010-05-17 |
| 1487889010 | Community Health Systems Inc | Pharmacy | 131 Mellon St, Beckley, WV 25801 | 2009-05-27 |
| 1962698118 | Community Health Sytems, Inc | Pharmacy | 7127 Harper Rd, Glen Daniel, WV 25844 | 2007-09-21 |
| 1265592679 | Wv Rural Health Care Partnership | Pharmacy | State Route 79 Cabin Creek Road, Dawes, WV 25054-0070 | 2006-12-08 |
| 1912090135 | Wirt County Health Svc Assoc Inc | Pharmacy | 606 Washington St, Ravenswood, WV 26164-1730 | 2006-10-02 |
| 1386682540 | Community Health Systems Inc | Pharmacy | 252 Rural Acres Dr, Beckley, WV 25801-3503 | 2006-06-02 |
| 1679073779 | Boone Memorial Hospital, Inc | Pharmacy | 697 Madison Avenue, Suite B, Madison, WV 25130-2513 | 2018-02-15 |
| 1659762466 | Shenandoah Pharmacy, LLC | Pharmacy | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2015-02-16 |
| 1558796326 | Ebenezer Medical Outreach Inc | Pharmacy | 1448 10th Ave, Huntington, WV 25701-3581 | 2013-09-11 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 25312 |
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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.