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	207RH0003X	Hematology & Oncology Physician
2	2080S0010X	Pediatric Sports Medicine Physician

General Provider Information

NPI Number	:	1912272931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHEELING HOSPITAL, INC.

Provider Business Mailing Address
First Line	:	1423 COMMERCE ST
Second Line	:
City	:	WELLSBURG
State	:	WV
Zip	:	26070-1320
Country	:	US
Telephone Number	:	304-243-3000
Fax Number	:	304-243-3060

Provider Business Practice Location Address
First Line	:	1423 COMMERCE ST
Second Line	:
City	:	WELLSBURG
State	:	WV
Zip	:	26070-1320
Country	:	US
Telephone Number	:	304-243-3000
Fax Number	:	304-243-3060

Authorized Official
Title or Position	:	CEO
Name	:	RONALD VIOLI
Credential	:
Telephone Number	:	304-243-3000

Provider Enumeration Date	:	03/09/2012
Last Update Date	:	03/09/2012

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