1. Home
  2. Directory
  3. Ohio
  4. Shadyside
  5. Clinic Center
  6. NPI Profile

SHADYSIDE HEALTH CENTER
NPI 1316023450
Clinic/Center - Primary Care in Shadyside, OH

Active since October 31, 2006CLIA 36D2165152 · Waiver
4000 CENTRAL AVE, SHADYSIDE, OH 43947(740) 671-9357(740) 671-9739 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shadyside Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADYSIDE HEALTH CENTER (NPI 1316023450) is a healthcare organization registered as a primary care in Shadyside, Ohio and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 21, 2027 and lists Janice Elaine Riesmeyer, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1316023450
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWHEELING HOSPITAL INC
Location Address4000 CENTRAL AVEShadyside, OH 43947-1209
Mailing Address1 Medical Park Business Office Nttc, Janice RiesmeyerWheeling, WV 26003-6397 · (304) 243-3124 · Fax (304) 243-1131
Phone(740) 671-9357
Fax(740) 671-9739
Organization SubpartYes
Authorized OfficialJanice Elaine RiesmeyerCredentialing Coordinator · (304) 243-3124
Enumeration DateOctober 31, 2006
Last NPPES UpdateMarch 21, 2019
✔ NPI 1316023450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4000 CENTRAL AVE, Shadyside, OH 43947
Open in Google Maps ↗

Other Names 1

Doing Business AsShadyside Health Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2165152

Shadyside Health Center · Shadyside, OH
Active · expires Apr 21, 2027
CLIA Number36D2165152
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2025
Certificate Expiration DateApril 21, 2027
Laboratory DirectorStacey Brown-Brocklehurst
Laboratory Phone(740) 671-9357
Laboratory LocationShadyside Health Center4000 Central Ave, Shadyside, OH 43947
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wheeling Hospital Inc's NPI number?

The NPI number for Wheeling Hospital Inc is 1316023450. It was assigned to this organization in the NPPES registry on October 31, 2006. The provider is doing business as Shadyside Health Center.

Where is Wheeling Hospital Inc located?

Wheeling Hospital Inc is located at 4000 Central Ave, Shadyside, OH 43947. The listed phone number is (740) 671-9357.

What is Wheeling Hospital Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Wheeling Hospital Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2165152) is associated with this NPI, valid through April 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wheeling Hospital Inc was last updated on March 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.