# BECKLEY-UHA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013160845
- **Legal business name:** WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
- **Authorized official:** ROBYN M MCDANIEL (PROVIDER RELATIONS SUPERVISOR)
- **Authorized official phone:** (304) 293-5033

## Contact information

- **Practice address:** 410 CARRIAGE DR, BECKLEY, WV 25801-2806
- **Practice address phone:** (304) 255-1544
- **Mailing address:** PO BOX 780, MORGANTOWN, WV 26507-0780
- **Mailing address phone:** (304) 293-7401
- **Mailing address fax:** (304) 293-6963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2008
- **Last updated:** 10/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0011526000 | — | WV |