Healthcare Provider Details

I. General information

NPI: 1780707828
Provider Name (Legal Business Name): NORTHWOOD HEALTH SYSTEMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 10/06/2023
Certification Date: 10/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 12TH ST
MCMECHEN WV
26040-1332
US

IV. Provider business mailing address

PO BOX 6400
WHEELING WV
26003-0801
US

V. Phone/Fax

Practice location:
  • Phone: 304-234-3520
  • Fax: 304-234-3511
Mailing address:
  • Phone: 304-234-3500
  • Fax: 304-234-3511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number013
License Number StateWV

VIII. Authorized Official

Name: MARK GAMES
Title or Position: PRESIDENT & CEO
Credential:
Phone: 304-234-3500