Organization · Type 2 NPI

Cabin Creek Health Center, Inc.

Community Health Clinic/Center · Charleston, WV

NPI number 1063932929 Active

Practice location

108 Lee St E
Charleston, WV 25301-1506

Call (304) 734-2040 Map

Fax (304) 734-2047

Mailing address

PO Box 70
Dawes, WV 25054-0070

Specialties and licenses

Taxonomy	Code	License
Community Health Clinic/Center Primary	261QC1500X	None listed

Community Health Clinic/Center: Definition to come...

4 other providers at this address

Kanawha-Charleston Health DepartmentPublic Health or Welfare Agency Charleston, WV NPI 1952499527
Womencare IncFederally Qualified Health Center (FQHC) Charleston, WV NPI 1942175690
Eva Jo Ditmer, APRN, CFNPFamily Nurse Practitioner Charleston, WV NPI 1255215372
Janice J. Miller, DOFamily Medicine Physician Charleston, WV NPI 1700918240

NPI record

NPI: 1063932929
Entity type: Organization (Type 2)
Issued: Jun 22, 2017
Last updated: Jun 22, 2017
Status: Active
Subpart: Yes of Cabin Creek Health Center, Inc.

Other names

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Cabin Creek Health Center, Inc. at KCHD · doing business as

Authorized official

Jennifer Russell
Administrative Assistant
(304) 734-2040

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063932929

Cabin Creek Health Center, Inc.'s National Provider Identifier is 1063932929, issued on Jun 22, 2017. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Charleston, WV. The record was last updated on Jun 22, 2017.