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CH031820 CABIN CREEK HEALTH SYSTEMS, INC. (Active)
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Main Details
Name
CABIN CREEK HEALTH SYSTEMS, INC.
Subdivision Name
Cabin Creek Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002203
340B ID
CH031820
Grant Number
H80CS00294
Additional Details
Current Program Status
Active
Registration Date
4/1/2001
Participating Start Date
4/1/2001
Participating Approval Date
6/3/2004
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
Cabin Creek Health Systems
Amber Renee Crist, Chief Operating Officer
(304) 444-2146
Primary Contact
Cabin Creek Health Systems
Jerad Lee Bailey, Director of Pharmacy Operations
(304) 734-2040 Ext: 1324
Addresses
Street Address
5722 Cabin Creek Road
DAWES, WV 25054-0070
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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ADMIN CORRECTION - WAS FQHCLA125 - ENT. NAME CORRECT.
06/07/2007
April 2025
April 2025
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