Kanawha City Health Center

LBN: Cabin Creek Health Center, Inc.
Kanawha City Health Center is an health care organization with primary practice located at 4602 Maccorkle Ave Se , Charleston WV 25304-1848. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Cabin Creek Health Center, Inc. can be contacted via phone (304) 734-2040, or through Russell, Jennifer via phone (304) 734-2040.

Contact Information

Primary practice address
4602 Maccorkle Ave Se Charleston WV 25304-1848
Phone: (304) 734-2040
Fax: (304) 734-2047
Website:
Map and Directions
Authorized official contact:
Name: Russell, Jennifer
Phone: (304) 734-2040

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 1041-6374 West Virginia

Profile Details

NPI number 1588908362
LBN Legal business name Cabin Creek Health Center, Inc.
DBA Doing business as Kanawha City Health Center
Authorized official Russell, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2012
Last updated Nov 19th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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