Provider Demographics
NPI:1073518007
Name:CABELL HUNTINGTON HOSPITAL INC
Entity type:Organization
Organization Name:CABELL HUNTINGTON HOSPITAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP & COO
Authorized Official - Prefix:MR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-256-2052
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:304-526-4846
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:304-526-2000
Practice Address - Fax:304-526-4846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV48282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000054452OtherANTHEM KY
WV1073518007Medicaid
OH1217758Medicaid
WV000312421OtherBLUE CROSS
WV0001144000Medicaid
KY000000061917OtherANTHEM KY LAB ONLY #
OH000000138976Medicaid
WV001710104OtherWV BC BS
KY01690049Medicaid
WV272203OtherMAMSI PROV ID
KY000000061917OtherANTHEM KY LAB ONLY #
OH=========00OtherOH WCOMP PROVIDER ID
OH000000138976Medicaid
WV272203OtherMAMSI PROV ID
OH=========001Medicaid