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CABIN CREEK HEALTH CENTER, INC., AHC Facilities / Federally Qualified Health Center (FQHC)

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Stethoscope
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CABIN CREEK HEALTH CENTER, INC.

NPI Number 1366495525
State Identifier(s) West Virginia Medicaid #0905008000
West Virginia Other ID #001835095
West Virginia Medicare OSCAR Certification #511880
West Virginia Other ID #001710317
West Virginia Other ID #001881671
Group Name CABIN CREEK HEALTH CENTER, INC.
Credentials - Lic #:031820 (West Virginia)
Mailing Address Confidential
Business Address ROUTE 79
DAWES, WV 25054-0070

Phone (304) 734-2040 Fax (304) 734-2047
Name CRAIG H. ROBINSON - (EXECUTIVE DIRECTOR)
Primary Specialty AHC Facilities / Federally Qualified Health Center (FQHC)
Additional Specialties
Last Modified 04/22/2008
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