Huntington Hospitalist Group Inc | |
204 S Carol Malone Blvd Grayson KY 41143-1368 | |
(304) 525-7111 | |
(606) 420-4131 |
Full Name | Huntington Hospitalist Group Inc |
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Speciality | Clinic/Center |
Location | 204 S Carol Malone Blvd, Grayson, Kentucky |
Authorized Official Name and Position | Ashley Salyers (OFFICE MANAGER) |
Authorized Official Contact | 3045257111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Huntington Hospitalist Group Inc 2205 Carter Ave Ashland KY 41101-7823 Ph: (304) 525-7111 | Huntington Hospitalist Group Inc 204 S Carol Malone Blvd Grayson KY 41143-1368 Ph: (304) 525-7111 |
NPI Number | 1467223982 |
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Provider Enumeration Date | 01/12/2024 |
Last Update Date | 01/12/2024 |
Medicare PECOS PAC ID | 7810125424 |
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Medicare Enrollment ID | O20240305003031 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467223982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Robin Arora |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144481565 PECOS PAC ID: 0042403297 Enrollment ID: I20120719000095 |
Provider Name | Crystal Sullivan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912658600 PECOS PAC ID: 7315331030 Enrollment ID: I20220223001362 |
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