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Organization

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION

Active
Other names
University Health Associates
Organization subpart
No

Provider details

NPI number
Authorized official
JUSTIN GIBSON (VP FINANCE-NORTHERN REGION)
(304) 598-4256
Entity
Organization

Contact information

Practice address
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506
(304) 598-4800
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 293-7401

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207T00000X
Neurological Surgery Physician
207V00000X
Obstetrics & Gynecology Physician
207X00000X
Orthopaedic Surgery Physician
207Y00000X
Otolaryngology Physician
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
208000000X
Pediatrics Physician
2084N0400X
Neurology Physician
2084P0800X
Psychiatry Physician
2085R0202X
Diagnostic Radiology Physician
208600000X
Surgery Physician
225X00000X
Occupational Therapist
261QR1300X
Rural Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007379580003
PA
05
0007384008
WV
05
0011526000
WV
01
51D0236626
CLIA
WV
01
51D0661844
CLIA
WV
01
51D0670497
CLIA
WV
01
51D0679009
CLIA
WV
01
51D0995704
CLIA
WV
01
51D1005552
CLIA
WV
01
51D1024856
CLIA
WV
05
5360003000
WV
05
906151700
MD
05
910478000
FL
01
CA7030
RAILROAD MEDICARE
WV
Enumeration date
01/26/2006
Last updated
02/24/2026
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