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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
1200 J D ANDERSON DR FL 4, MORGANTOWN, WV 26505-3494
(304) 285-2235
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RG0100X
Gastroenterology Physician
207RN0300X
Nephrology Physician
Primary
207RP1001X
Pulmonary Disease Physician

Other

Enumeration date
10/29/2025
Last updated
10/29/2025
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