Healthcare Provider Details

I. General information

NPI: 1477622603
Provider Name (Legal Business Name): HHC RIVER PARK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 04/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 SIXTH AVENUE
HUNTINGTON WV
25701
US

IV. Provider business mailing address

1230 SIXTH AVENUE
HUNTINGTON WV
25701
US

V. Phone/Fax

Practice location:
  • Phone: 304-526-9100
  • Fax: 304-526-9375
Mailing address:
  • Phone: 304-526-9100
  • Fax: 304-526-9375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number124
License Number StateWV

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: CFO/UHS
Credential:
Phone: 610-768-3359