Healthcare Provider Details

I. General information

NPI: 1285749275
Provider Name (Legal Business Name): AREA HEALTH SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2628 FIFTH AVENUE
HUNTINGTON WV
25702
US

IV. Provider business mailing address

PO BOX 2467
ASHLAND KY
41105
US

V. Phone/Fax

Practice location:
  • Phone: 606-836-7377
  • Fax: 606-836-2189
Mailing address:
  • Phone: 606-836-7377
  • Fax: 606-836-2189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number13716
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number16608
License Number StateWV
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number21847
License Number StateWV

VIII. Authorized Official

Name: KIRTI K JAIN
Title or Position: MD
Credential: MD
Phone: 606-836-0202