Healthcare Provider Details

I. General information

NPI: 1316017171
Provider Name (Legal Business Name): WHEELING HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 03/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 GUERNSEY ST
BELLAIRE OH
43906-1540
US

IV. Provider business mailing address

1 MEDICAL PARK BUSINESS OFFICE NTTC JANICE RIESMEYER
WHEELING WV
26003-6397
US

V. Phone/Fax

Practice location:
  • Phone: 740-676-4623
  • Fax: 740-671-6333
Mailing address:
  • Phone: 304-243-3124
  • Fax: 304-243-3124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JANICE ELAINE RIESMEYER
Title or Position: CREDENTIALING COORDINATOR
Credential:
Phone: 304-243-3124