Organization
WHEELING HOSPITAL
Active
Parent organization
WHEELING HOSPITAL INC
Other names
Medical Park Home Infusion
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHEELING HOSPITAL INC
Authorized official
JAMES M MURDY (CHIEF FINANCIAL OFFICER)
(304) 243-3681
Entity
Organization
Contact information
Practice address
1 MEDICAL PARK, WHEELING, WV 26003-6379
(304) 243-8507
(304) 243-6346
Mailing address
1 MEDICAL PARK, WHEELING, WV 26003-6379
(304) 243-8507
(304) 243-6346
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
SP0551188
WV
3336H0001X
Home Infusion Therapy Pharmacy
Primary
SP0551188
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001131011
—
WV
01
—
001705300
MOUNTAIN STATE BCBS
WV
05
—
0884600
—
OH
Enumeration date
10/25/2006
Last updated
04/02/2013
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