NPIMap

Organization Active NPI

Cabin Creek Health Center, Inc.

  • Clinical Medical Laboratory
  • Dawes, WV
National Provider Identifier
1225257850
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
037198 Issued in WV
Legal business name
CABIN CREEK HEALTH CENTER, INC.
Practice address
State Rte 79
Dawes, WV 25054
Phone
(304) 595-5006
Fax
(304) 595-2936
NPI assigned
Apr 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Craig H Robinson
Title
Executive Director
Phone
(304) 734-2040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 037198 WV Primary

Addresses

Primary practice location

State Rte 79
Dawes, WV 25054

Mailing address

Route 79
PO Box 70
Dawes, WV 25054
Phone (304) 595-5006

Other identifiers 1

IdentifierTypeStateIssuer
5580097000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Cabin Creek Health Center Pharmacy13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225257850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROUTE 79",
            "address_2": "PO BOX 70",
            "city": "DAWES",
            "state": "WV",
            "postal_code": "25054",
            "telephone_number": "304-595-5006",
            "fax_number": "304-595-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATE RTE 79",
            "city": "DAWES",
            "state": "WV",
            "postal_code": "25054",
            "telephone_number": "304-595-5006",
            "fax_number": "304-595-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABIN CREEK HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-734-2040"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WV",
            "license": "037198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5580097000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawes, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.