CABIN CREEK HEALTH CENTER, INC. AT KCHD
NPI 1063932929
Clinic/Center - Community Health in Charleston, WV
About Cabin Creek Health Center, Inc. At Kchd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CABIN CREEK HEALTH CENTER, INC. AT KCHD (NPI 1063932929) is a healthcare organization registered as a community health in Charleston, West Virginia and active in the NPI registry since June 2017. The organization lists Jennifer Russell, Administrative Assistant, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cabin Creek Health Center, Inc. At Kchd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
74Medicare enrollment records show 74 clinicians reassign Medicare billing to Cabin Creek Health Center, Inc. At Kchd, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 34 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 13
Nearest to this location (20)
See all 74Charleston, WV 25304
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cabin Creek Health Center, Inc.'s NPI number?
The NPI number for Cabin Creek Health Center, Inc. is 1063932929. It was assigned to this organization in the NPPES registry on June 22, 2017. The provider is doing business as Cabin Creek Health Center, Inc. At Kchd.
Where is Cabin Creek Health Center, Inc. located?
Cabin Creek Health Center, Inc. is located at 108 Lee St E, Charleston, WV 25301. The listed phone number is (304) 734-2040.
What is Cabin Creek Health Center, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.
Is Cabin Creek Health Center, Inc. enrolled in Medicare?
Yes. Cabin Creek Health Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cabin Creek Health Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 74 clinicians in 13 Medicare specialties reassign their Medicare billing to Cabin Creek Health Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (33), Family Practice (15) and Clinical Psychologist (11). Of these, 3 practice at this address and 34 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Cabin Creek Health Center, Inc. accept?
Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Cabin Creek Health Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Cabin Creek Health Center, Inc. was last updated on June 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Cabin Creek Health Center, Inc. At Kchd · NPI 1063932929
Community Health organization in Charleston, West Virginia. Organization record, active in the CMS NPPES registry since June 22, 2017.
## Identity
- **NPI:** 1063932929 (Entity type: Organization)
- **Enumerated:** June 22, 2017
- **Primary specialty:** Clinic/Center - Community Health · taxonomy 261QC1500X
- **Legal business name:** Cabin Creek Health Center, Inc.
- **Organization subpart:** Yes (part of Cabin Creek Health Center, Inc.)
- **Authorized official:** Jennifer Russell, ADMINISTRATIVE ASSISTANT
## Practice location
- **Address:** 108 LEE ST E, Charleston, WV 25301-1506
- **Phone:** (304) 734-2040 · **Fax:** (304) 734-2047
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 74 clinicians in 13 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (33), Family Practice (15), Clinical Psychologist (11); 3 practice at this address and 34 within 10 miles; [full list](https://npiprofile.com/npi/1063932929/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 22, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1063932929) · Data from the CMS NPPES public registry.