1275576373 NPI number — CABELL HUNTINGTON HOSPITAL INC

Table of content: (NPI 1275576373)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275576373 NPI number — CABELL HUNTINGTON HOSPITAL INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CABELL HUNTINGTON HOSPITAL INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275576373
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/30/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 714960
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43271-4960
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
888-245-5525
Provider Business Mailing Address Fax Number:
717-653-8197

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1340 HAL GREER BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNTINGTON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25701-3800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-399-2960
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WARD
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
M
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
304-526-2000

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 367500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 371659500 . This is a "US DEPT OF LABOR" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 001710103 . This is a "MOUNTAIN STATE BLUE CROSS/HIGHMARK MD GROUP" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 2560385 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0001144004 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 65943698 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 74900937 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3810010865 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 030057700 . This is a "BLACK LUNG" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 2560456 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 001731892 . This is a "MOUNTAIN STATE BLUE CROSS/HIGHMARK CRNA GROUP" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".




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