Provider Demographics
NPI:1568872844
Name:ACUITY SPECIALTY HOSPITAL - OHIO VALLEY, LP
Entity Type:Organization
Organization Name:ACUITY SPECIALTY HOSPITAL - OHIO VALLEY, LP
Other - Org Name:ACUITY SPECIALTY HOSPITAL OHIO VALLEY AT WHEELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:CASSADY
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:704-887-7281
Mailing Address - Street 1:10735 DAVID TAYLOR DR STE 200
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-1060
Mailing Address - Country:US
Mailing Address - Phone:704-887-7283
Mailing Address - Fax:704-887-7283
Practice Address - Street 1:1 MEDICAL PARK
Practice Address - Street 2:6TH FLOOR
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-6379
Practice Address - Country:US
Practice Address - Phone:304-238-5750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-07
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV165OtherHOSPITAL LICENSE
WV362035Medicare Oscar/Certification