Basic Information
| Provider Information | |||||||||
| NPI: | 1407276934 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WHEELING HOSPITAL, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3801 LINCOLN AVE | ||||||||
| Address2: | |||||||||
| City: | SHADYSIDE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 439471320 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7406719357 | ||||||||
| FaxNumber: | 7406719739 | ||||||||
| Practice Location | |||||||||
| Address1: | 3801 LINCOLN AVE | ||||||||
| Address2: | |||||||||
| City: | SHADYSIDE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 439471320 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7406719357 | ||||||||
| FaxNumber: | 7406719739 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/23/2014 | ||||||||
| LastUpdateDate: | 04/23/2014 | ||||||||
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| AuthorizedOfficialLastName: | VIOLI | ||||||||
| AuthorizedOfficialFirstName: | RONALD | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 3042433000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.