Healthcare Provider Details

I. General information

NPI: 1356392732
Provider Name (Legal Business Name): WHEELING HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 10/21/2023
Certification Date: 10/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 16TH STREET
WHEELING WV
26003
US

IV. Provider business mailing address

1 MEDICAL PARK
WHEELING WV
26003-6300
US

V. Phone/Fax

Practice location:
  • Phone: 304-243-4663
  • Fax: 304-243-5076
Mailing address:
  • Phone: 304-243-3124
  • Fax: 304-243-1131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

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