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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
1322 PINEVIEW DR, MORGANTOWN, WV 26505-0710
(304) 598-3100
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 285-7101

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
207L00000X
Anesthesiology Physician
Primary
207LP3000X
Pediatric Anesthesiology Physician
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207V00000X
Obstetrics & Gynecology Physician
363LF0000X
Family Nurse Practitioner
363LW0102X
Women's Health Nurse Practitioner
367500000X
Certified Registered Nurse Anesthetist

Other

Enumeration date
09/12/2025
Last updated
09/12/2025
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