Healthcare Provider Details

I. General information

NPI: 1124099635
Provider Name (Legal Business Name): HUNTINGTON SURGERY CENTER LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 12/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 HAL GREER BLVD
HUNTINGTON WV
25701-3801
US

IV. Provider business mailing address

1201 HAL GREER BLVD
HUNTINGTON WV
25701-3801
US

V. Phone/Fax

Practice location:
  • Phone: 304-523-1885
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY WOOD
Title or Position: DIRECTOR
Credential:
Phone: 828-236-3027