Healthcare Provider Details
I. General information
NPI: 1750531984
Provider Name (Legal Business Name): WHEELING HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/24/2008
Last Update Date: 09/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1006 COMMERCE ST
WELLSBURG WV
26070-1567
US
IV. Provider business mailing address
1006 COMMERCE ST
WELLSBURG WV
26070-1567
US
V. Phone/Fax
- Phone: 304-737-4435
- Fax: 304-737-4439
- Phone: 304-737-4435
- Fax: 304-737-4439
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RONALD
VIOLI
Title or Position: CEO
Credential:
Phone: 304-243-3000