Provider Demographics
NPI:1114096344
Name:HHC RIVER PARK, INC.
Entity Type:Organization
Organization Name:HHC RIVER PARK, INC.
Other - Org Name:RIVER PARK HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR VP CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:6106-787-3300
Mailing Address - Street 1:1230 SIXTH AVENUE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701
Mailing Address - Country:US
Mailing Address - Phone:304-526-9100
Mailing Address - Fax:304-526-9375
Practice Address - Street 1:1230 SIXTH AVENUE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701
Practice Address - Country:US
Practice Address - Phone:304-526-9100
Practice Address - Fax:304-526-9375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV124283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810002756Medicaid
WV3810001577Medicaid
WV3810002013Medicaid
WV3810002191Medicaid
WV3810003416Medicaid
514008Medicare Oscar/Certification