NORTHWOOD HEALTH SYSTEMS INC NPI 1780707828

NPI Information

NPI: 1780707828
Provider Name: NORTHWOOD HEALTH SYSTEMS INC
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

CLIA Number: 51D1054313

Address:
17 12TH ST
MCMECHEN, WV
ZIP 26040
Phone: (304) 234-3520
Get Directions

NORTHWOOD HEALTH SYSTEMS INC is an intermediate care facility mentally retarded in Mcmechen, WV. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. NORTHWOOD HEALTH SYSTEMS INC NPI is 1780707828. The provider is registered as an organization entity type.

The provider's business location address is:

17 12TH ST
MCMECHEN, WV
ZIP 26040-332
Phone: (304) 234-3520
Fax: (304) 234-3511

The provider's authorized official is Mark Games .
The authorized official title is President & Ceo and has the following contact phone number (304) 234-3500.

The CLIA number assigned to this NPI record is 51D1054313 - other - behavioral health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 10/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		013	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0005467006	MEDICAID	WEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »