Provider Demographics
NPI:1851514889
Name:NORTHWOOD HEALTH SYSTEM
Entity Type:Organization
Organization Name:NORTHWOOD HEALTH SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:GAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-234-3500
Mailing Address - Street 1:PO BOX 6400
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-0801
Mailing Address - Country:US
Mailing Address - Phone:304-234-3500
Mailing Address - Fax:304-234-3511
Practice Address - Street 1:26 RAVEN AVE
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-2640
Practice Address - Country:US
Practice Address - Phone:304-234-3563
Practice Address - Fax:304-234-3511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV13315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0005467004Medicaid
WV0005467004Medicaid