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, FINANCE)
(304) 598-4256
Entity
Organization
Contact information
Practice address
600 SUNCREST TOWN CENTRE DR, MORGANTOWN, WV 26505-0589
(855) 988-2273
(304) 598-4907
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 285-7101
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/09/2024
Last updated
03/25/2025
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