Organization
NORTHWOOD HEALTH SYSTEMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER RADAKOVICH (PRESIDENT & CEO)
(304) 234-3500
Entity
Organization
Contact information
Practice address
2121 EOFF ST, WHEELING, WV 26003-3805
(304) 234-3570
(304) 234-3511
Mailing address
111 19TH ST, PO BOX 6400, WHEELING, WV 26003-3709
(304) 234-3500
(304) 234-3511
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
013
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005467002
—
WV
Enumeration date
04/18/2007
Last updated
07/27/2007
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