Provider Demographics
NPI:1235328949
Name:WHEELING HOSPITAL, INC.
Entity Type:Organization
Organization Name:WHEELING HOSPITAL, INC.
Other - Org Name:ST. CLAIRSVILLE HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:VIOLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-243-3000
Mailing Address - Street 1:51339 NATIONAL RD E
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-9119
Mailing Address - Country:US
Mailing Address - Phone:740-695-1210
Mailing Address - Fax:
Practice Address - Street 1:51339 NATIONAL RD E
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-9119
Practice Address - Country:US
Practice Address - Phone:740-695-1210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WHEELING HOSPITAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-18
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9294635Medicare PIN