NPIMap

Organization Active NPI

Northwood Health Systems Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wheeling, WV
National Provider Identifier
1235355264
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
013 Issued in WV
Legal business name
NORTHWOOD HEALTH SYSTEMS INC
Practice address
2121 Eoff St
Wheeling, WV 26003-3805
Phone
(304) 234-3570
Fax
(304) 234-3511
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Peter Radakovich
Title
President & Ceo
Phone
(304) 234-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 013 WV Primary

Addresses

Primary practice location

2121 Eoff St
Wheeling, WV 26003-3805

Mailing address

111 19TH St
PO Box 6400
Wheeling, WV 26003-3709
Phone (304) 234-3500

Other identifiers 1

IdentifierTypeStateIssuer
0005467002MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Northwoods Health Syete8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2121 Eoff St
Wheeling, WV 26003
Phone 30423435003246

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1235355264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 19TH ST",
            "address_2": "PO BOX 6400",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033709",
            "telephone_number": "304-234-3500",
            "fax_number": "304-234-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 EOFF ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033805",
            "telephone_number": "304-234-3570",
            "fax_number": "304-234-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOOD HEALTH SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "RADAKOVICH",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "304-234-3500"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WV",
            "license": "013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005467002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.