Healthcare Provider Details

I. General information

NPI: 1902140692
Provider Name (Legal Business Name): WEIRTON MEDICAL CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2012
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 COLLIERS WAY
WEIRTON WV
26062-5014
US

IV. Provider business mailing address

601 COLLIERS WAY
WEIRTON WV
26062-5014
US

V. Phone/Fax

Practice location:
  • Phone: 304-797-6000
  • Fax: 304-797-6326
Mailing address:
  • Phone: 304-797-6000
  • Fax: 304-797-6326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: NICK F PELLEGRINO
Title or Position: DIRECTOR
Credential:
Phone: 304-797-6326