Sissonville Health Center Pharmacy

LBN: Cabin Creek Health Center Inc
Sissonville Health Center Pharmacy is an health care organization with primary practice located at 6135 Sissonville Dr , Charleston WV 25312-9444. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Cabin Creek Health Center Inc can be contacted via phone (304) 343-8030, or through Wright, Rhonda via phone (304) 595-5065.

Contact Information

Primary practice address
6135 Sissonville Dr Charleston WV 25312-9444
Phone: (304) 343-8030
Fax: (304) 343-8031
Website:
Map and Directions
Authorized official contact:
Name: Wright, Rhonda
Phone: (304) 595-5065

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X MP0552428 West Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1851843965
LBN Legal business name Cabin Creek Health Center Inc
DBA Doing business as Sissonville Health Center Pharmacy
Authorized official Wright, Rhonda
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2016
Last updated Jul 19th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851843965 NPPES
West Virginia MEDICAID 1851843965
West Virginia Other 2170333

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