NORTHWOOD HEALTH SYSTEMS INC (NPI# 1235355264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235355264 |
Entity Type | Organization |
Organization Name | NORTHWOOD HEALTH SYSTEMS INC |
Practice Address |
2121 Eoff St Wheeling WV 26003-3805 |
Mailing Address |
111 19th St Po Box 6400 Wheeling WV 26003-3709 |
Practice Telephone | 3042343570 |
Practice Fax Number | 3042343511 |
Mailing Telephone | 3042343500 |
Mailing Fax Number | 3042343511 |
Enumeration Date | 2007-04-18 |
Last Update Date | 2007-07-27 |
Authorized Official Name | PETER RADAKOVICH (PRESIDENT & CEO) |
Authorized Official Telephone | 3042343500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
013 | WV | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 0005467002 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912120940 | Northwood Health Systems Inc | Intermediate Care Facility, Mentally Retarded | 2302 Ritz Ave, Wheeling, WV 26003-7232 | 2007-04-10 |
1780707828 | Northwood Health Systems Inc | Intermediate Care Facility, Mentally Retarded | 17 12th St, Mcmechen, WV 26040-1332 | 2007-04-06 |
1013286988 | Northwood Health Systems Inc | Community/Behavioral Health | 2121 Eoff St, Wheeling, WV 26003-3805 | 2011-12-22 |
1417173444 | Northwood Health Systems Inc | Day Training, Developmentally Disabled Services | 2121 Eoff St, Wheeling, WV 26003-3805 | 2007-04-18 |
1821211855 | Northwood Health Systems Inc | Intermediate Care Facility, Mentally Retarded | 501 Main St, Wheeling, WV 26003-2523 | 2007-04-10 |
1447473475 | Northwood Health Systems Inc | Clinic/Center | 2121 Eoff St, Wheeling, WV 26003-3805 | 2007-04-10 |
1649277559 | Northwood Health Systems Inc | Community/Behavioral Health | 2121 Eoff St, Wheeling, WV 26003-3805 | 2005-07-07 |
Street Address |
2121 EOFF ST |
City | WHEELING |
State | WV |
Zip Code | 26003-3805 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902809452 | Martha Ulyssa Donahue | Nurse Practitioner | 2121 Eoff St, Wheeling, WV 26003-3805 | 2005-05-28 |
1629693478 | Ryan D Kalakewich | Psychologist | 2121 Eoff St, Wheeling, WV 26003-3805 | 2020-06-08 |
1649762667 | Ara Joann Rose Holiday | Psychologist | 2121 Eoff St, Wheeling, WV 26003-3805 | 2018-06-05 |
1508227133 | Stephanie M Foster | Nurse Practitioner | 2121 Eoff St, Wheeling, WV 26003-3805 | 2016-03-09 |
1699021063 | Margaret Ellen Williams Baker | Nurse Practitioner | 2121 Eoff St, Wheeling, WV 26003-3805 | 2012-08-03 |
1013286988 | Northwood Health Systems Inc | Community/Behavioral Health | 2121 Eoff St, Wheeling, WV 26003-3805 | 2011-12-22 |
1235429473 | Leonard Leroy Wellman | Counselor | 2121 Eoff St, Wheeling, WV 26003-3805 | 2011-04-08 |
1205136199 | Jill O. Freeman | Social Worker | 2121 Eoff St, Wheeling, WV 26003-3805 | 2010-10-26 |
1245485937 | Michelle Lynn Hogan | Social Worker | 2121 Eoff St, Wheeling, WV 26003-3805 | 2008-11-21 |
1629246384 | Lynne Marie Stanley | Social Worker | 2121 Eoff St, Wheeling, WV 26003-3805 | 2008-02-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669070538 | Ashley Lynn Fleming | Case Manager/Care Coordinator | 442 Woodland Acres Rd, Wheeling, WV 26003 | 2020-10-13 |
1982202057 | Tiffany Renee Beck | Behavioral Analyst | 1007 Market Street, Wheeling, WV 26003 | 2020-10-12 |
1922620426 | Abbey Lynne Griffith | Speech-Language Pathologist | 199 Co Rd 7/7, Jane Lew, WV 26003 | 2020-05-07 |
1801309414 | Amy Wade | Counselor | 2204 Eoff Street, Wheeling, WV 26003 | 2017-11-06 |
1053840157 | Syl Solution Marketing | Durable Medical Equipment & Medical Supplies | 800 Hazlett Ave, Wheeling, WV 26003 | 2017-06-12 |
1568917334 | Hamed M Motlagh | Dentist | 53 14th St Ste 208, Wheeling, WV 26003 | 2016-08-22 |
1922454446 | Carrie Ann Warman | Pharmacist | 200 Mt.dechantal Road, Wheeling, WV 26003 | 2016-05-13 |
1447636691 | Ashley M Zando | Nurse Anesthetist, Certified Registered | 109 Mt Wood Road, Wheeling, WV 26003 | 2015-08-10 |
1194126441 | John Greaves | Specialist/Technologist | 135 Springdale Ave, Wheeling, WV 26003 | 2014-09-05 |
1154747210 | Donald Lee Rebich | Pharmacist | 61-29th Street, Wheeling, WV 26003 | 2014-03-13 |
Find all providers in zip 26003 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1447473475 | Northwood Health Systems Inc | Clinic/Center | 2121 Eoff St, Wheeling, WV 26003-3805 | 2007-04-10 |
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1659413177 | Autism Services Center | Clinic/Center | 10 6th Ave W, Huntington, WV 25701-0028 | 2007-02-12 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.