Provider Demographics
NPI:1275576373
Name:CABELL HUNTINGTON HOSPITAL INC
Entity Type:Organization
Organization Name:CABELL HUNTINGTON HOSPITAL INC
Other - Org Name:CABELL HUNTINGTON HOSPITAL ANESTHESIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-526-2000
Mailing Address - Street 1:PO BOX 714960
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43271-4960
Mailing Address - Country:US
Mailing Address - Phone:888-245-5525
Mailing Address - Fax:717-653-8197
Practice Address - Street 1:1340 HAL GREER BLVD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-3800
Practice Address - Country:US
Practice Address - Phone:304-399-2960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CABELL HUNTINGTON HOSPITAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-14
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV371659500OtherUS DEPT OF LABOR
WV001710103OtherMOUNTAIN STATE BLUE CROSS/HIGHMARK MD GROUP
OH2560385Medicaid
WV0001144004Medicaid
KY65943698Medicaid
KY74900937Medicaid
WV3810010865Medicaid
WV030057700OtherBLACK LUNG
OH2560456Medicaid
WV001731892OtherMOUNTAIN STATE BLUE CROSS/HIGHMARK CRNA GROUP
WV001731892OtherMOUNTAIN STATE BLUE CROSS/HIGHMARK CRNA GROUP
OH=========09OtherWORKERS COMPENSATION
WV001710103OtherMOUNTAIN STATE BLUE CROSS/HIGHMARK MD GROUP
KY65943698Medicaid
WV0001144004Medicaid