Organization
WEST VIRGINIA UNIVERSITY HOSPITALS, INC
Active
Organization
WEST VIRGINIA UNIVERSITY HOSPITALS, INC
Active
Other names
WVU Chestnut Ridge Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE BOWMAN MCCLYMONDS (ADMINISTRATOR)
(304) 598-4032
Entity
Organization
Contact information
Practice address
930 CHESTNUT RIDGE RD, MORGANTOWN, WV 26505-2807
(304) 598-4032
(304) 598-4143
Mailing address
PO BOX 1127, 930 CHESTNUT RIDGE ROAD, MORGANTOWN, WV 26507-1127
(304) 598-4032
(304) 598-4143
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0222014004
—
WV
Enumeration date
02/20/2007
Last updated
07/15/2008
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