CABIN CREEK HEALTH CENTER INC.


Address: 4602 Maccorkle Ave Se, Charleston, WV 25304-1848
Phone: 3047342040

CABIN CREEK HEALTH CENTER INC. (NPI# 1861895427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861895427
Entity Type Organization
Organization Name CABIN CREEK HEALTH CENTER INC.
Other Organization Name KANAWHA CITY HEALTH CENTER LAB
Practice Address 4602 Maccorkle Ave Se
Charleston
WV 25304-1848
Mailing Address Po Box 70
Dawes
WV 25054-0070
Practice Telephone 3047342040
Practice Fax Number 3047342047
Mailing Telephone 3047342040
Enumeration Date 2014-09-26
Last Update Date 2014-09-26
Authorized Official Name JENNIFER RUSSELL (ADMINISTRATIVE ASSISTANT)
Authorized Official Telephone 3047342040
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Kanawha City Health Center Lab Doing Business As Name - Organization

Office Location

Street Address 4602 MACCORKLE AVE SE
City CHARLESTON
State WV
Zip Code 25304-1848

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417945304 Donald L Seidler Emergency Medicine 4602 Maccorkle Ave Se, Charleston, WV 25304-1848 2005-10-13
1841806510 Ashley Sierra Copen Social Worker 4602 Maccorkle Ave Se, Charleston, WV 25304-1848 2020-09-18
1225656044 Marlee Layh Student in an Organized Health Care Education/Training Program 4602 Maccorkle Ave Se, Charleston, WV 25304-1848 2020-07-08
1689040032 Rocky Lucas Social Worker 4602 Maccorkle Ave Se, Charleston, WV 25304-1848 2015-08-19
1750726444 Wv Rural Healthcare Partnership Pharmacy 4602 Maccorkle Ave Se, Charleston, WV 25304-1848 2013-05-08
1588908362 Cabin Creek Health Center, Inc. Clinic/Center 4602 Maccorkle Ave Se, Charleston, WV 25304-1848 2012-11-19
1285988808 Karen Lynn Bailey Physician Assistant 4602 Maccorkle Ave Se, 81 Lincoln Panther Way, Charleston, WV 25304-1848 2012-11-05
1679865687 Grace Mcclung Falbo Family Medicine 4602 Maccorkle Ave Se, Charleston, WV 25304-1848 2011-05-09
1760702120 Ryan Morrison Internal Medicine 4602 Maccorkle Ave Se, Charleston, WV 25304-1848 2010-06-09
1861693194 Integrated Health Care Providers, Inc. Clinic/Center 4602 Maccorkle Ave Se, Charleston, WV 25304-1848 2007-05-31
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740893908 Sade Yvonne Rice Technician 392 B South Parkd Rd, Charleston, WV 25304 2020-08-27
1053931410 Pir Ali Shah Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 2020-04-25
1649807603 Jasmine Shah Student in an Organized Health Care Education/Training Program 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 2020-03-26
1447811872 Kwasi Amponsah Gambrah Student in an Organized Health Care Education/Training Program 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 2019-06-26
1457916751 Divya Kalluru Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 2019-05-02
1841854965 Sean Michael Percy Losier Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 2019-04-24
1700440047 Priyanka Chowdhry Student in an Organized Health Care Education/Training Program Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 2019-04-23
1568925469 Saranya Dinesan Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 2019-04-09
1043771694 Mary Elizabeth Novak Student in an Organized Health Care Education/Training Program Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 2019-03-27
1124518600 Abdullah Sohail Student in an Organized Health Care Education/Training Program 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 2018-05-10
Find all providers in zip 25304

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811595499 Laura Coolidge Family Medicine 1528 Seacroft Rd, Charleston, SC 29412-8113 2020-10-15
1356954259 Relymd Medical Group Wv, Pllc Family Medicine 1627 Quarrier St, Charleston, WV 25311-2124 2020-08-28
1922617950 Fred E Hill Family Medicine 1033 Jervey Point Rd, Charleston, SC 29492-8372 2020-07-27
1093375222 Valley Health Systems, Inc. Family Medicine 333 Laidley St Fl 6, Charleston, WV 25301-1614 2019-06-19
1427512201 Catherine Courtney Slemp Family Medicine 350 Capitol St Rm 702, Charleston, WV 25301-1757 2019-01-25
1730677709 Courtney Uhlar Family Medicine 169 Ashley Ave # Msc333, Charleston, SC 29425-9125 2018-04-25
1134617335 Kelsey Rose Wilson Family Medicine 169 Ashley Ave. Room 202, Main Hospital Msc 333, Charleston, SC 29425-9125 2018-04-24
1659869816 Anthony James Baglio Family Medicine 169 Ashley Avenue, Room 202 Main Hospital, Msc 333, Charleston, SC 29425 2018-04-24
1396252219 Lisa Ann Oshaughnessy Turnure Family Medicine 3 Sawgrass Rd Apt I6, Charleston, SC 29412-2579 2017-12-30
1720467525 Sasha M. Perez Family Medicine 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 2015-05-26
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Competitor

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City CHARLESTON
Zip Code 25304

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Dataset Information

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.

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