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Organization

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION

Active
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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
6 CANYON RD STE 150, MORGANTOWN, WV 26508-0028
(304) 598-4433
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
103T00000X
Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
104100000X
Social Worker
2084F0202X
Forensic Psychiatry Physician
2084P0800X
Psychiatry Physician
Primary
363LF0000X
Family Nurse Practitioner

Other

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