Organization
WEST VIRGINIA UNIVERSITY PHYSICIAN OF CHARLESTON-VALLEY CENTER
Active
Parent organization
WEST VIRGINIA UNIVERSITY PHYSICIANS OF CHARLESTON
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST VIRGINIA UNIVERSITY PHYSICIANS OF CHARLESTON
Authorized official
ROBYN M MCDANIEL (PROVIDER RELATIONS SUPERVISOR)
(304) 293-5033
Entity
Organization
Contact information
Practice address
1000 LINCOLN DR, SOUTH CHARLESTON, WV 25309-2304
(304) 768-4410
(304) 768-4416
Mailing address
PO BOX 7000, MORGANTOWN, WV 26507-7000
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4002106000
—
WV
Enumeration date
02/19/2009
Last updated
02/19/2009
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