| Cabin Creek Health Center, Inc. At Kchd | |
|
108 Lee St E Charleston WV 25301-1506 | |
| (304) 734-2040 | |
| (304) 734-2047 |
| Full Name | Cabin Creek Health Center, Inc. At Kchd |
|---|---|
| Speciality | Clinic/Center |
| Location | 108 Lee St E, Charleston, West Virginia |
| Authorized Official Name and Position | Jennifer Russell (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 3047342040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cabin Creek Health Center, Inc. At Kchd Po Box 70 Dawes WV 25054-0070 Ph: (304) 734-2040 | Cabin Creek Health Center, Inc. At Kchd 108 Lee St E Charleston WV 25301-1506 Ph: (304) 734-2040 |
| NPI Number | 1063932929 |
|---|---|
| Provider Enumeration Date | 06/22/2017 |
| Last Update Date | 06/22/2017 |
| Medicare PECOS PAC ID | 2466431101 |
|---|---|
| Medicare Enrollment ID | O20180921000446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063932929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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