Provider Demographics
NPI:1558653816
Name:CABELL HUNTINGTON HOSPITAL, INC
Entity Type:Organization
Organization Name:CABELL HUNTINGTON HOSPITAL, INC
Other - Org Name:CABELL HUNTINGTON HOSPITAL HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FOWLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-526-2000
Mailing Address - Street 1:1340 HAL GREER BLVD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-3800
Mailing Address - Country:US
Mailing Address - Phone:304-526-2000
Mailing Address - Fax:
Practice Address - Street 1:7718 COUNTY ROAD 107
Practice Address - Street 2:SUITE 102
Practice Address - City:PROCTORVILLE
Practice Address - State:OH
Practice Address - Zip Code:45669-7928
Practice Address - Country:US
Practice Address - Phone:740-451-1007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CABELL HUNTINGTON HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-05-05
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH369055Medicare Oscar/Certification