Healthcare Provider Details

I. General information

NPI: 1124695721
Provider Name (Legal Business Name): HUNTINGTON HOSPITALIST GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2021
Last Update Date: 06/10/2021
Certification Date: 06/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 5TH AVE
HUNTINGTON WV
25701-2202
US

IV. Provider business mailing address

4540 US ROUTE 60
HUNTINGTON WV
25705-1936
US

V. Phone/Fax

Practice location:
  • Phone: 130-452-5711
  • Fax: 304-736-1589
Mailing address:
  • Phone: 304-520-0461
  • Fax: 304-736-1589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ROBIN ARORA
Title or Position: DIRECTOR
Credential: MD
Phone: 718-213-2964