Healthcare Provider Details

I. General information

NPI: 1508102310
Provider Name (Legal Business Name): CABELL HUNTINGTON HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2012
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 12TH AVE
HUNTINGTON WV
25701-3833
US

IV. Provider business mailing address

1340 HAL GREER BLVD
HUNTINGTON WV
25701-3800
US

V. Phone/Fax

Practice location:
  • Phone: 304-522-3420
  • Fax: 304-529-4645
Mailing address:
  • Phone: 304-526-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: TIM MARTIN
Title or Position: COO
Credential:
Phone: 304-526-2000