Healthcare Provider Details

I. General information

NPI: 1922282581
Provider Name (Legal Business Name): WHEELING HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2007
Last Update Date: 01/15/2024
Certification Date: 01/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL PARK
WHEELING WV
26003-6379
US

IV. Provider business mailing address

1 MEDICAL PARK
WHEELING WV
26003-6379
US

V. Phone/Fax

Practice location:
  • Phone: 304-243-3000
  • Fax: 304-243-3078
Mailing address:
  • Phone: 304-243-3000
  • Fax: 304-243-3078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM BANE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 304-243-3681