Provider Demographics
NPI:1750531984
Name:WHEELING HOSPITAL, INC.
Entity type:Organization
Organization Name:WHEELING HOSPITAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
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 1:1006 COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:WELLSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26070-1567
Mailing Address - Country:US
Mailing Address - Phone:304-737-4435
Mailing Address - Fax:304-737-4439
Practice Address - Street 1:1006 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:WELLSBURG
Practice Address - State:WV
Practice Address - Zip Code:26070-1567
Practice Address - Country:US
Practice Address - Phone:304-737-4435
Practice Address - Fax:304-737-4439
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WHEELING HOSPITAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9384750Medicaid
WV0001131002Medicaid
WV0001131002Medicaid