Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Cabin Creek Health Center Inc

Organization Family Medicine Physician · NPI 1861895427

Cabin Creek Health Center Inc provides Family Medicine Physician services in Charleston, West Virginia. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4602 Maccorkle Ave SE
Charleston, WV 25304-1848 Not confirmed with CMS for 12 years — call before visiting
Phone: (304) 734-2040
Fax: (304) 734-2047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1861895427
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Russell — Administrative Assistant · (304) 734-2040
Other names Kanawha City Health Center Lab
NPI enumeratedSeptember 26, 2014
Last updated in NPPESSeptember 26, 2014
Mailing addressPo Box 70, Dawes, WV 25054-0070

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