MEDICARE: WHEELING HOSPITAL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1588992150
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHEELING HOSPITAL INC

Provider Business Mailing Address
First Line	:	1 MEDICAL PARK
Second Line	:
City	:	WHEELING
State	:	WV
Zip	:	26003-6300
Country	:	US
Telephone Number	:	304-243-3124
Fax Number	:	304-243-1131

Provider Business Practice Location Address
First Line	:	280 E MAIN ST
Second Line	:
City	:	SAINT CLAIRSVILLE
State	:	OH
Zip	:	43950-9157
Country	:	US
Telephone Number	:	740-699-7000
Fax Number	:	740-699-7012

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	JANICE ELAINE RIESMEYER
Credential	:
Telephone Number	:	304-243-3124

Provider Enumeration Date	:	11/19/2009
Last Update Date	:	08/23/2019

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