Provider Demographics
NPI:1023449055
Name:CHH CENTER FOR SURGICAL WEIGHT CONTROL
Entity type:Organization
Organization Name:CHH CENTER FOR SURGICAL WEIGHT CONTROL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:BLAINE
Authorized Official - Last Name:NEASE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-399-4121
Mailing Address - Street 1:1115 20TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25703-2071
Mailing Address - Country:US
Mailing Address - Phone:304-399-4121
Mailing Address - Fax:
Practice Address - Street 1:1115 20TH ST STE 101
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25703-2071
Practice Address - Country:US
Practice Address - Phone:304-399-4121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CABELL HUNTINGTON HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-02
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN72536NP261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVG92391Medicare UPIN