Healthcare Provider Details

I. General information

NPI: 1275576373
Provider Name (Legal Business Name): CABELL HUNTINGTON HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 12/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1340 HAL GREER BLVD
HUNTINGTON WV
25701-3800
US

IV. Provider business mailing address

PO BOX 714960
COLUMBUS OH
43271-4960
US

V. Phone/Fax

Practice location:
  • Phone: 304-399-2960
  • Fax:
Mailing address:
  • Phone: 888-245-5525
  • Fax: 717-653-8197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID M WARD
Title or Position: CFO
Credential:
Phone: 304-526-2000