| Cabin Creek Health Center, Inc. | |
|
Route 79 Dawes WV 25054-0070 | |
| (304) 734-2040 | |
| (304) 734-2047 |
| Full Name | Cabin Creek Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | Route 79, Dawes, West Virginia |
| Authorized Official Name and Position | Craig H. Robinson (EXECUTIVE DIRECTOR) |
| 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. Po Box 70 Dawes WV 25054-0070 Ph: (304) 734-2040 | Cabin Creek Health Center, Inc. Route 79 Dawes WV 25054-0070 Ph: (304) 734-2040 |
| NPI Number | 1366495525 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 04/22/2008 |
| Medicare PECOS PAC ID | 2466431101 |
|---|---|
| Medicare Enrollment ID | O20101120000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366495525 | NPI | - | NPPES |
| 001881671 | Other | WV | MS BCBS |
| 001710317 | Other | WV | MS BCBS |
| 001835095 | Other | WV | MS BCBS |
| 0905008000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 031820 (West Virginia) | Primary |
Cabin Creek Health Center Lab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5722 Cabin Creek Rd, Dawes, WV 25054 Phone: 304-734-2040 Fax: 304-734-2047 | |
Mountaineer Accountable Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rt 79 114 Bern Drive, Dawes, WV 25054 Phone: 304-734-2040 Fax: 304-734-2047 |