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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