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Organization
HARPERS FERRY - UHA
Active
Organization
HARPERS FERRY - UHA
Active
Parent organization
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Authorized official
TERRY MILLER (PROVIDER ENROLLMENT)
(304) 285-7101
Entity
Organization
Contact information
Practice address
171 TAYLOR ST, HARPERS FERRY, WV 25425-3641
(304) 535-6343
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011526000
—
WV
Enumeration date
07/17/2009
Last updated
02/15/2012
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