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Organization

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION

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
JUSTIN GIBSON (VP OF FINANCE)
(304) 598-4256
Entity
Organization

Contact information

Practice address
250 RETAIL CIR STE 106, MORGANTOWN, WV 26508-1677
(855) 988-2273
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(855) 988-2273

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
207RC0000X
Cardiovascular Disease Physician
Primary
207RC0001X
Clinical Cardiac Electrophysiology Physician
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
10/15/2025
Last updated
10/15/2025
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