Healthcare Provider Details

I. General information

NPI: 1093230211
Provider Name (Legal Business Name): WHEELING HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2017
Last Update Date: 07/21/2022
Certification Date: 11/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55741 NATIONAL RD
BRIDGEPORT OH
43912-1528
US

IV. Provider business mailing address

1 MEDICAL PARK BUSINESS OFFICE NTTC JANICE RIESMEYER
WHEELING WV
26003-6379
US

V. Phone/Fax

Practice location:
  • Phone: 740-635-4572
  • Fax: 740-635-4575
Mailing address:
  • Phone: 304-243-3124
  • Fax: 304-243-1131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

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