# WVU MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WVU HEALTHCARE UNIVERSITY TOWN CENTRE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164828224
- **Authorized official:** ANDREA M RUMBLE (PROVIDER ENROLLMENT)
- **Authorized official phone:** (304) 285-7101

## Contact information

- **Practice address:** 6040 UNIVERSITY TOWN CENTER DRIVE, MORGANTOWN, WV 26501-2421
- **Practice address phone:** (304) 598-4800
- **Mailing address:** PO BOX 780, MORGANTOWN, WV 26507-0780
- **Mailing address phone:** (304) 285-7100
- **Mailing address fax:** (304) 285-7126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/17/2014
- **Last updated:** 04/08/2015