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Organization
STATE OF WEST VIRGINIA CONCORD UNIVERSITY
Active
Organization
STATE OF WEST VIRGINIA CONCORD UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUGH DAVID CAMPBELL PHD (DIRECTOR OF HEALTH SERVICES)
(304) 384-5331
Entity
Organization
Contact information
Practice address
1000 VERMILLION ST, ATHENS, WV 24712-9027
(304) 384-7325
Mailing address
PO BOX 1000, ATHENS, WV 24712-1000
(304) 384-5608
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
—
NULL
207PS0010X
Sports Medicine (Emergency Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
—
NULL
2255A2300X
Athletic Trainer
—
NULL
2255A2300X
Athletic Trainer
—
—
261QS1000X
Student Health Clinic/Center
Primary
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/03/2019
Last updated
11/29/2023
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