NPIMap

Organization Active NPI

Northwood Health Systems Inc

  • Intellectual Disabilities Intermediate Care Facility
  • McMechen, WV
National Provider Identifier
1780707828
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
013 Issued in WV
Legal business name
NORTHWOOD HEALTH SYSTEMS INC
Practice address
17 12TH St
McMechen, WV 26040-1332
Phone
(304) 234-3520
Fax
(304) 234-3511
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Mark Games
Title
President & Ceo
Phone
(304) 234-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 013 WV Primary

Addresses

Primary practice location

17 12TH St
McMechen, WV 26040-1332

Mailing address

PO Box 6400
Wheeling, WV 26003-0801
Phone (304) 234-3500

Other identifiers 1

IdentifierTypeStateIssuer
0005467006MedicaidWV

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

17 12th St
McMechen, WV 26040
Phone (304) 234-3520

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1780707828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6400",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030801",
            "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": "17 12TH ST",
            "city": "MCMECHEN",
            "state": "WV",
            "postal_code": "260401332",
            "telephone_number": "304-234-3520",
            "fax_number": "304-234-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOOD HEALTH SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "GAMES",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "304-234-3500"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "WV",
            "license": "013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005467006",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McMechen, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.