Organization
NORTHWOOD HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GAMES (PRESIDENT & CEO)
(304) 234-3500
Entity
Organization
Contact information
Practice address
26 RAVEN AVE, WHEELING, WV 26003-2640
(304) 234-3563
(304) 234-3511
Mailing address
PO BOX 6400, WHEELING, WV 26003-0801
(304) 234-3500
(304) 234-3511
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
13
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005467004
—
WV
Enumeration date
04/10/2007
Last updated
10/06/2023
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