Organization
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Active
Other names
University Health Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA M HENSON (CORPORATE SUPERVISOR)
(304) 293-5033
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506
(304) 598-4800
(304) 293-6963
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
021629
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0592440001
DMERC
WV
Enumeration date
10/02/2007
Last updated
10/02/2007
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